LEGAL DEALERS LLC
109b Abner Jackson Pkwy
Lake Jackson, TX 77566
979-297-9503
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 3336L0003X | Suppliers - Pharmacy | ||
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | ||
Y | 3336C0003X | Suppliers - Pharmacy | TX | 18233 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 4590976 | OTHER | |
DEA # | BT5393551 | TX | OTHER |
144619 | TX | MEDICAID |