Organization
LEGACY APOTHECARY LP
Active
Other names
ReNue Rx #12
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ CHHADUA (MANAGING PARTNER)
(214) 422-2598
Entity
Organization
Contact information
Practice address
150 N COPPELL RD STE PHARMACY, COPPELL, TX 75019-2293
(972) 371-0067
Mailing address
PO BOX 2735, FRISCO, TX 75034-0051
(214) 422-2598
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
08/14/2023
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