Organization
LEE-SHAH LLLP
Active
Other names
Legacy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAYUR SHAH RPH (OWNER/PHARMACIST)
(817) 524-5573
Entity
Organization
Contact information
Practice address
1307 8TH AVE, SUITE 100, FORT WORTH, TX 76104-4137
(817) 924-3200
Mailing address
2106 WOODBINE CIR, SOUTHLAKE, TX 76092-3927
(817) 524-5573
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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