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MLDP OF TEXAS LP NPI 1538235643


NPI Information

NPI: 1538235643
Provider Name: MLDP OF TEXAS LP

Doing Business As: LEGENDS PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
6601 BLANCO RD STE 250
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 434-2477
Get Directions

MLDP OF TEXAS LP is a long term care pharmacy pharmacy in San Antonio, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MLDP OF TEXAS LP NPI is 1538235643. The provider is registered as an organization entity type.
The provider Is Doing Business As Legends Pharmacy.

The provider's business location address is:

6601 BLANCO RD STE 250
SAN ANTONIO, TX
ZIP 78216-105
Phone: (210) 434-2477
Fax: (855) 298-6576

The provider's authorized official is Angela Dipaolo .
The authorized official title is Vp Of Pharmacy Operations and has the following contact phone number (210) 510-2692.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 3/5/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy24014TEXASYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1350197MEDICAIDTEXAS
22097650OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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