LEGACY COMPOUNDING INC NPI 1144733072

NPI Information

LEGACY COMPOUNDING INC is a compounding pharmacy pharmacy in Decatur, AL. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. LEGACY COMPOUNDING INC NPI is 1144733072. The provider is registered as an organization entity type.
The provider Is Doing Business As Legacy Compounding Inc..

The provider's business location address is:

2422 DANVILLE RD SW STE H
DECATUR, AL
ZIP 35603-221
Phone: (256) 353-1123
Fax: (256) 280-3551

The provider's authorized official is Samuel Costello .
The authorized official title is Pharmacist-in Charge and has the following contact phone number (256) 353-1123.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 7/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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