| NPI | 1780659755 |
|---|---|
| Doing Business As | LEGACY DRUG |
| Entity Type | Organization |
| Authorized Contact | JULLIE JUSTICE Contracting 405-447-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-05-06 |