Organization
LEGACY APOTHECARY LP
Active
Other names
ReNue Rx #12- LTC
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ MILAN CHHADUA (MANAGING PARTNER)
(469) 294-2001
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
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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