Legacy Drugstore LLC
NPI #1316594328 in Wright City, Missouri
Provider Information
- NPI Number
- 1316594328
- Entity Type
- Organization
- Organization Name
- Legacy Drugstore LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 23, 2019
- Last Updated
- Aug 23, 2019
Practice Location
- Address
- 13000 VETERANS MEMORIAL PKWY STE A
- City
- Wright City
- State
- Missouri
- ZIP Code
- 63390-1012
- Phone
- (636) 791-1274
Authorized Official
- Name
- MITCH GRAUMENZ
- Title
- PRESIDENT
- Phone
- (636) 791-1274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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