Legacy Drug

LBN: Legacy Drug
Legacy Drug is an health care organization with primary practice located at 111 W Grant Ave , Pauls Valley OK 73075-3257. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Legacy Drug can be contacted via phone (405) 238-3305, or through Smith, Emily Marie via phone (405) 238-3305.

Contact Information

Primary practice address
111 W Grant Ave Pauls Valley OK 73075-3257
Phone: (405) 238-3305
Fax: (405) 238-3307
Website:
Map and Directions
Authorized official contact:
Name: Smith, Emily Marie Doctor of Public Health (DPH)
Phone: (405) 238-3305

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 22-5367 Oklahoma

Profile Details

NPI number 1750522421
LBN Legal business name Legacy Drug
DBA Doing business as
Authorized official Smith, Emily Marie Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2009
Last updated Mar 10th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750522421 NPPES
Oklahoma MEDICAID 200135440B

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