NPI 1003135195
Legacy Drugstore INC
Practice location
- Address
- 400 S Broad St, Elizabeth, NJ 07202-3502
- Phone
- (908) 352-0050
- Fax
- (908) 352-0075
Authorised official
- Name
- Gurdine Soma
- Title
- Pharmacist, Owner
- Phone
- (908) 352-0050
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003135195
- Entity type
- Organization
- NPI issued
- 28 May 2010
- Record last updated
- 17 Feb 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.