Southland Legend Pharmacy is not a DME supplier for medicare equipments and products.
Southland Legend Pharmacy is a Community/Retail Pharmacy in Tyler, Texas. It is located at 5201 S Broadway Ave, Ste 100, Tyler and it's customer support contact number is 903-534-8218. The authorized person of Southland Legend Pharmacy is Doug Benedetti who is Pic of the pharmacy and his contact number is 903-534-8218. Southland Legend Pharmacy is 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.
Pharmacy Details:
Southland Legend Pharmacy 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:
Southland Legend Pharmacy
Type:
Community/Retail Pharmacy
Location:
5201 S Broadway Ave, Ste 100, Tyler, Texas, 75703-3748
Phone:
903-534-8218
Fax:
903-534-2897
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:
Doug Benedetti
Position:
Pic
Contact Number:
903-534-8218
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:
1225142219
NPI Enumeration Date:
18 Aug, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southland Legend Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Primary
Pharmacy
17039
Texas
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
144423
Medicaid
Texas
4572093
Other
Other Id Number-commercial Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5201 S Broadway Ave, Ste 100 Tyler, Texas
Zip:
75703-3748
Phone Number:
--
Fax Number:
--
Patients can reach Southland Legend Pharmacy at 5201 S Broadway Ave, Ste 100, Tyler, Texas or can call on customer care at 903-534-8218.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.