Organization
LEGACY DRUGSTORE LLC
Active
Other names
Legacy Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH GRAUMENZ (PRESIDENT)
(636) 791-1274
Entity
Organization
Contact information
Practice address
13000 VETERANS MEMORIAL PKWY STE A, WRIGHT CITY, MO 63390-1012
(636) 791-1274
(636) 791-1326
Mailing address
13000 VETERANS MEMORIAL PKWY STE A, WRIGHT CITY, MO 63390-1012
(636) 791-1274
(636) 791-1326
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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