Organization
LEGACY COMMUNITY HEALTH SERVICES, INC
Active
Other names
Legacy Baker Ripley
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON WELLNER (PHARMACIST)
(281) 451-4783
Entity
Organization
Contact information
Practice address
6500 ROOKIN ST STE B-200, HOUSTON, TX 77074-5019
(713) 351-7350
(713) 351-7351
Mailing address
6500 ROOKIN ST, SUITE B-200, HOUSTON, TX 77074-5019
(713) 351-7350
(713) 351-7351
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
27409
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5904429
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/22/2011
Last updated
11/22/2011
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