Organization
LEGACY RX
Active
Other names
Legacy Rx
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY THAI PHARMD (PHARMACIST)
(405) 924-0178
Entity
Organization
Contact information
Practice address
927 SW D AVE, LAWTON, OK 73501-4530
(580) 699-8052
(580) 699-8057
Mailing address
927 SW D AVE, LAWTON, OK 73501-4530
(580) 699-8052
(580) 699-8057
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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