| NPI | 1811291875 |
|---|---|
| Doing Business As | LEGACY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAYUR SHAH Owner/Pharmacist 817-524-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |