# LEGACY APOTHECARY LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ReNue Rx \#12- LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730947102
- **Authorized official:** RAJ MILAN CHHADUA (MANAGING PARTNER)
- **Authorized official phone:** (469) 294-2001

## Contact information

- **Practice address:** 150 N COPPELL RD STE PHARMACY, COPPELL, TX 75019-2293
- **Practice address phone:** (972) 371-0067
- **Mailing address:** PO BOX 2735, FRISCO, TX 75034-0051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 03/11/2024