NPI | 1154478212 |
---|---|
Doing Business As | LEGEND CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | DOW CLASSEN Pharmacy Manager 405-321-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OK 75767) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336I0012X Pharmacy, Institutional Pharmacy | |
3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
333600000X Pharmacy | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2017-01-23 |