<Unavail>

LBN: Doughertys Pharmacy Legacy Llc
<Unavail> is an health care organization with primary practice located at 6501 Legacy Dr Ste P , Plano TX 75024-3612. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Doughertys Pharmacy Legacy Llc can be contacted via phone (214) 884-1929, or through Pettit, Steven via phone (972) 860-0229.

Contact Information

Primary practice address
6501 Legacy Dr Ste P Plano TX 75024-3612
Phone: (214) 884-1929
Fax: (214) 884-1931
Website:
Map and Directions
Authorized official contact:
Name: Pettit, Steven
Phone: (972) 860-0229

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1154810760
LBN Legal business name Doughertys Pharmacy Legacy Llc
DBA Doing business as <Unavail>
Authorized official Pettit, Steven
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2018
Last updated May 23rd, 2018 - about 8 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 1154810760 NPPES
Other 2177616 PK

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