DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LEGACY DRUGSTORE CORP.

MEDICARE: LEGACY DRUGSTORE CORP.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPH27303FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12143423OTHERPK

General Provider Information

NPI Number : 1841611779
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEGACY DRUGSTORE CORP.
Provider Business Mailing Address
First Line : 4700 NW 7TH ST
Second Line : 1
City : MIAMI
State : FL
Zip : 33126-2252
Country : US
Telephone Number : 305-443-3555
Fax Number : 305-443-3522
Provider Business Practice Location Address
First Line : 4700 NW 7TH ST
Second Line : 1
City : MIAMI
State : FL
Zip : 33126-2252
Country : US
Telephone Number : 305-443-3555
Fax Number : 305-443-3522
Authorized Official
Title or Position : PRESIDENT
Name : AZARAHI CARDOSO-GALVEZ
Credential :
Telephone Number : 305-443-3555
Provider Enumeration Date : 12/19/2013
Last Update Date : 12/19/2013

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:
701 NW 27TH AVE
MIAMI, FL
33125-3012
Practice Phone: 786-744-1900
Practice Fax: 305-760-4141
1346221611 — HOMESTEAD PORTABLE X-RAY SERVICES INC
Practice Location Address:
4700 NW 7TH ST , SUITE 3
MIAMI, FL
33126-2252
Practice Phone: 786-866-9737
Practice Fax: 786-866-5933
1619674819 — GLA PHARMACY, LLC
Practice Location Address:
4700 NW 7TH ST STE 1
MIAMI, FL
33126-2252
Practice Phone: 305-640-5764
Practice Fax: 305-640-5149
1447247341 — GREGORIO B ZUAZU M.D.
Practice Location Address:
6039 COLLINS AVENUE , APT 1115
MIAMI BEACH, FL
33140-2252
Practice Phone: 713-542-4522
Practice Fax:
1669150553 — ANABEL MARTINEZ RODRIGUEZ
Practice Location Address:
13701 KENDALE LAKES CIR
MIAMI, FL
33183-2252
Practice Phone: 786-583-1899
Practice Fax:
1952101867 — ARIEL RAMON PORTILLA
Practice Location Address:
6039 COLLINS AVE APT 1118
MIAMI BEACH, FL
33140-2252
Practice Phone: 786-256-0610
Practice Fax:

Directions to “LEGACY DRUGSTORE CORP. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.