Organization
LEGACY DRUGSTORE CORP.
Active
Organization
LEGACY DRUGSTORE CORP.
Active
Other names
LEGACY DRUGSTORE
Organization subpart
No
Provider details
NPI number
Authorized official
AZARAHI CARDOSO-GALVEZ (PRESIDENT)
(305) 443-3555
Entity
Organization
Contact information
Practice address
4700 NW 7TH ST, 1, MIAMI, FL 33126-2252
(305) 443-3555
(305) 443-3522
Mailing address
4700 NW 7TH ST, 1, MIAMI, FL 33126-2252
(305) 443-3555
(305) 443-3522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH27303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143423
PK
—
Enumeration date
12/19/2013
Last updated
12/19/2013
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