Organization
RAINBOW PHARMACISTS SERVICES LLC
Active
Other names
Legacy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NGUYEN (PHARMACY MANAGER)
(972) 907-1833
Entity
Organization
Contact information
Practice address
11330 LEGACY DR STE 102, FRISCO, TX 75033
(972) 907-1833
(972) 907-1830
Mailing address
11330 LEGACY DR STE 102, FRISCO, TX 75033
(972) 907-1833
(972) 907-1830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146834
—
TX
01
—
2126041
PK
—
Enumeration date
07/21/2010
Last updated
10/25/2018
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