Organization
LEGACY RX II
Active
Organization
LEGACY RX II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY THAI PHARM D (PHARMACIST)
(405) 924-0178
Entity
Organization
Contact information
Practice address
2809 NW 31ST ST, OKLAHOMA CITY, OK 73112-7406
(405) 900-5200
Mailing address
2809 NW 31ST ST, OKLAHOMA CITY, OK 73112-7406
(405) 900-5200
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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