Legacy Pharmacy, LLC
NPI #1780659755 in Pauls Valley, Oklahoma
Provider Information
- NPI Number
- 1780659755
- Entity Type
- Organization
- Organization Name
- Legacy Pharmacy, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 22, 2006
- Last Updated
- May 6, 2020
Practice Location
- Address
- 111 W GRANT AVE
- City
- Pauls Valley
- State
- Oklahoma
- ZIP Code
- 73075-3257
- Phone
- (405) 238-3305
Authorized Official
- Name
- JULLIE JUSTICE
- Title
- CONTRACTING
- Phone
- (405) 447-3911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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