Organization
LEGACY PARK DISCOUNT PHARMACY
Active
Organization
LEGACY PARK DISCOUNT PHARMACY
Active
Other names
Legacy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHISHKUMAR K SMART (MANAGING MEMBER)
(321) 278-4422
Entity
Organization
Contact information
Practice address
10967 LAKE UNDERHILL RD, ORLANDO, FL 32825-4457
(407) 730-7989
(407) 730-7995
Mailing address
10967 LAKE UNDERHILL RD, ORLANDO, FL 32825-4457
(407) 730-7989
(407) 730-7995
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25547
FL
Other
Enumeration date
06/29/2011
Last updated
09/29/2023
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