# LEGACY COMMUNITY HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Baker Ripley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053688838
- **Authorized official:** SIMON WELLNER (PHARMACIST)
- **Authorized official phone:** (281) 451-4783

## Contact information

- **Practice address:** 6500 ROOKIN ST STE B-200, HOUSTON, TX 77074-5019
- **Practice address phone:** (713) 351-7350
- **Practice address fax:** (713) 351-7351
- **Mailing address:** 6500 ROOKIN ST, SUITE B-200, HOUSTON, TX 77074-5019
- **Mailing address phone:** (713) 351-7350
- **Mailing address fax:** (713) 351-7351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 27409 | TX | Yes |

## Other

- **Enumeration date:** 11/22/2011
- **Last updated:** 11/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5904429 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |