Organization
DOUGHERTYS PHARMACY LEGACY LLC
Active
Organization
DOUGHERTYS PHARMACY LEGACY LLC
Active
Other names
Dougherty's Pharmacy on Legacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PETTIT (DIRECTOR OF PHARMACY OPERATIONS)
(972) 860-0229
Entity
Organization
Contact information
Practice address
6501 LEGACY DR STE P, PLANO, TX 75024-3612
(214) 884-1929
(214) 884-1931
Mailing address
6501 LEGACY DR STE P, PLANO, TX 75024-3612
(214) 884-1929
(214) 884-1931
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177616
PK
—
Enumeration date
05/09/2018
Last updated
05/23/2018
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