Legacy Compounding Inc
Compounding Pharmacy · Decatur, AL
Practice location
2422 Danville Rd SW Ste HDecatur, AL 35603-4221
- Phone
- (256) 353-1123
- Fax
- (256) 280-3551
NPI record
- NPI
- 1144733072
- Entity type
- Organization (Type 2)
- Enumeration date
- November 14, 2017
- Last updated
- July 19, 2018
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
114750 | AL |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Pharmacy | 333600000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Authorized official
- Name
- Samuel Costello, BS PHARMACY
- Title
- Pharmacist-In Charge
- Phone
- (256) 353-1123
Other names
- Legacy Compounding Inc.
About Legacy Compounding Inc
Legacy Compounding Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 2422 Danville Rd SW Ste H, Decatur, AL 35603-4221. The NPI number 1144733072 was assigned on November 14, 2017 and the record was last updated on July 19, 2018.
Legacy Compounding Inc lists a license in the registry: #114750 (AL) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Samuel Costello, BS PHARMACY, Pharmacist-In Charge.
Frequently asked questions
What is the NPI number of Legacy Compounding Inc?
The NPI number is 1144733072.
What is the phone number of Legacy Compounding Inc?
The phone number listed for the practice location is (256) 353-1123.
Where is Legacy Compounding Inc located?
2422 Danville Rd SW Ste H, Decatur, AL 35603-4221.
What is the taxonomy code for Legacy Compounding Inc?
The primary taxonomy code is 3336C0004X – Compounding Pharmacy; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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