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LEGACY APOTHECARY LP NPI 1225708225


NPI Information

NPI: 1225708225
Provider Name: LEGACY APOTHECARY LP

Doing Business As: RENUE RX #12

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2266525

Address:
150 N COPPELL RD STE PHARMACY
COPPELL, TX
ZIP 75019
Phone: (972) 371-0067
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LEGACY APOTHECARY LP is a community/retail pharmacy pharmacy in Coppell, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. LEGACY APOTHECARY LP NPI is 1225708225. The provider is registered as an organization entity type.
The provider Is Doing Business As Renue Rx #12.

The provider's business location address is:

150 N COPPELL RD STE PHARMACY
COPPELL, TX
ZIP 75019-293
Phone: (972) 371-0067

The provider's authorized official is Raj Chhadua .
The authorized official title is Managing Partner and has the following contact phone number (214) 422-2598.

The CLIA number assigned to this NPI record is 45D2266525 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 8/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.