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Southland Legend Pharmacy
Community/Retail Pharmacy in Tyler, Texas
NPI 1225142219

Southland Legend Pharmacy is a Community/Retail Pharmacy based in Tyler, TX and is specialized in Community/Retail Pharmacy. Southland Legend Pharmacy practices in Tyler, TX. The NPI Number for Southland Legend Pharmacy is 1225142219 and holds a License No. 17039 (Texas).

The current practice location address for Southland Legend Pharmacy is 5201 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-534-8218 and via fax at 903-534-2897.

Location: 5201 S Broadway Ave, Tyler, TX, 75703-3748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225142219
Provider Name
Southland Legend Pharmacy
Credential
Provider Entity Type
Organization
Address
5201 S Broadway Ave, Tyler, TX, 75703-3748
Phone Number
903-534-8218
Fax Number
903-534-2897
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
144423 05 TX
4572093 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
5201 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-3748
Phone Number
903-534-8218
Fax Number
903-534-2897
person
Provider Business Mailing Address Details
Address
5201 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-3748
Phone Number
903-534-8218
Fax Number
903-534-2897
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
17039 (Texas)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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