Organization
RAINBOW PHARMACISTS SERVICES LLC
Active
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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