Legacy Drugstore LLC
NPI #1396291837 in Wright City, Missouri
Provider Information
- NPI Number
- 1396291837
- Entity Type
- Organization
- Organization Name
- Legacy Drugstore LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 25, 2016
- Last Updated
- Dec 21, 2016
Practice Location
- Address
- 13000 VETERANS MEMORIAL PKWY
- Address 2
- SUITE A
- City
- Wright City
- State
- Missouri
- ZIP Code
- 63390-1041
- Phone
- (636) 791-1274
Authorized Official
- Name
- MITCHELL GRAUMENZ, PHARMD
- Title
- PIC
- Phone
- (618) 267-0574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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