| 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 |