Organization
LEGENDS PHARMACY II, LP
Active
Other names
Legends Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA D DIPAOLO RPH, PHARMD (VP OF PHARMACY OPERATIONS)
(210) 510-2692
Entity
Organization
Contact information
Practice address
1602 AVENUE D STE 500, KATY, TX 77493-3646
(281) 496-0640
(844) 646-6562
Mailing address
6601 BLANCO ROAD, SUITE 201, SAN ANTONIO, TX 78216
(210) 510-2692
(210) 736-4438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
26436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350222
—
TX
Enumeration date
02/11/2009
Last updated
03/05/2024
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