Provider Demographics
NPI:1700594157
Name:LEGGETT DRUG COMPANY, INC.
Entity Type:Organization
Organization Name:LEGGETT DRUG COMPANY, INC.
Other - Org Name:LEGGETT DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:252-685-7979
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:ROBERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27871-0454
Mailing Address - Country:US
Mailing Address - Phone:252-685-7979
Mailing Address - Fax:252-685-7989
Practice Address - Street 1:712 N. MAIN ST B
Practice Address - Street 2:
Practice Address - City:ROBERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27871
Practice Address - Country:US
Practice Address - Phone:252-685-7979
Practice Address - Fax:252-685-7989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy