Legacy Compounding Inc
Compounding Pharmacy
2422 Danville Rd Sw Ste H, Decatur
Alabama, 35603-4221
256-353-1123 256-280-3551
Legacy Compounding Inc is a Compounding Pharmacy in Decatur, Alabama. It is located at 2422 Danville Rd Sw Ste H, Decatur and it's customer support contact number is 256-353-1123. The authorized person of Legacy Compounding Inc is Samuel Costello, BS PHARMACY who is Pharmacist-in Charge of the pharmacy and his contact number is 256-353-1123. Active license number of Legacy Compounding Inc is 114750 for Compounding Pharmacy in Alabama.
Legacy Compounding Inc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Legacy Compounding Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Legacy Compounding Inc |
| Type: | Compounding Pharmacy |
| Location: | 2422 Danville Rd Sw Ste H, Decatur,
Alabama, 35603-4221 |
| Phone: | 256-353-1123 |
| Fax: | 256-280-3551 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Samuel Costello |
| Credentials: | BS PHARMACY |
| Position: | Pharmacist-in Charge |
| Contact Number: | 256-353-1123 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1144733072 |
| NPI Enumeration Date: | 14 Nov, 2017 |
| NPI Last Update On: | 19 Jul, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Legacy Compounding Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | 114750 | Alabama | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2171878 | Other | | Pk |
| 1144733072 | Medicaid | Alabama | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2422 Danville Rd Sw Ste H,
Decatur, Alabama |
| Zip: | 35603-4221 |
| Phone Number: | 256-353-1123 |
| Fax Number: | 256-280-3551 |
Patients can reach Legacy Compounding Inc at
2422 Danville Rd Sw Ste H, Decatur, Alabama or can
call on customer care at 256-353-1123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.