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Legacy Pharmacy, Llc
Compounding Pharmacy in Pauls Valley, Oklahoma
NPI 1780659755

Legacy Pharmacy, Llc is a Compounding Pharmacy based in Pauls Valley, OK and is specialized in Compounding Pharmacy. Legacy Pharmacy, Llc practices in Pauls Valley, OK. The NPI Number for Legacy Pharmacy, Llc is 1780659755 and holds a License No. (Oklahoma).

The current practice location address for Legacy Pharmacy, Llc is 111 W Grant Ave, Pauls Valley, OK and can be reached out via phone at 405-238-3305 and via fax at 405-238-3307.

Location: 111 W Grant Ave, Pauls Valley, OK, 73075-3257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780659755
Provider Name
Legacy Pharmacy, Llc
Credential
Provider Entity Type
Organization
Address
111 W Grant Ave, Pauls Valley, OK, 73075-3257
Phone Number
405-238-3305
Fax Number
405-238-3307
Provider Enumeration Date
02/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2074447 01 PK
200135440B 05 OK
institution
Provider Business Practice Location Address Details
Address
111 W Grant Ave
City
Pauls Valley
State
Oklahoma
Zip
73075-3257
Phone Number
405-238-3305
Fax Number
405-238-3307
person
Provider Business Mailing Address Details
Address
111 W Grant Ave
City
Pauls Valley
State
Oklahoma
Zip
73075-3257
Phone Number
405-238-3305
Fax Number
405-238-3307
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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