Provider Demographics
NPI:1639679319
Name:RANDALL LEGACY INC
Entity Type:Organization
Organization Name:RANDALL LEGACY INC
Other - Org Name:SYMPHONY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAWANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-598-1640
Mailing Address - Street 1:8825 BEE CAVES RD STE A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4720
Mailing Address - Country:US
Mailing Address - Phone:512-598-1640
Mailing Address - Fax:512-601-0717
Practice Address - Street 1:8825 BEE CAVES RD STE A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-4720
Practice Address - Country:US
Practice Address - Phone:512-598-1640
Practice Address - Fax:512-601-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy