Legacy Drugstore INC
NPI #1003135195 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1003135195
- Entity Type
- Organization
- Organization Name
- Legacy Drugstore INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 28, 2010
- Last Updated
- Feb 17, 2015
Practice Location
- Address
- 400 S BROAD ST
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07202-3502
- Phone
- (908) 352-0050
Authorized Official
- Name
- GURDINE SOMA
- Title
- PHARMACIST, OWNER
- Phone
- (908) 352-0050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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