Southland Legend Pharmacy
Southland Legend Pharmacy is a Pharmacy in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
5201 S Broadway Ave Ste 100Tyler, TX 75703-3748
Phone: (903) 534-8218
Fax: (903) 534-2897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|---|
| Pharmacy | Taxonomy 333600000X · Licence 17039 (TX) |
Record details
| NPI number | 1225142219 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Doug Benedetti — Pic · (903) 534-8218 |
| NPI enumerated | August 18, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 5201 S Broadway Ave, Ste 100, Tyler, TX 75703-3748 |
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