| NPI | 1295260818 |
|---|---|
| Doing Business As | LEGACY DRUGSTORE |
| Entity Type | Organization |
| Authorized Contact | JOHN HAMILTON Compliance Officer 314-605-7340 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |