Legacy Compounding INC
NPI #1144733072 in Decatur, Alabama
Provider Information
- NPI Number
- 1144733072
- Entity Type
- Organization
- Organization Name
- Legacy Compounding INC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Nov 14, 2017
- Last Updated
- Jul 19, 2018
Practice Location
Authorized Official
- Name
- SAMUEL COSTELLO, BS PHARMACY
- Title
- PHARMACIST-IN CHARGE
- Phone
- (256) 353-1123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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