NPI | 1780121871 |
---|---|
Other Name | LEGACY PHARMACY |
Entity Type | Organization |
Authorized Contact | RACHAEL ALLES Operations Manager Owner 817-924-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31106) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2017-01-26 |
Last Update Date | 2018-05-08 |