Provider Demographics
NPI:1750619508
Name:LEGARD, CHERIE M (PHARM D)
Entity type:Individual
Prefix:MISS
First Name:CHERIE
Middle Name:M
Last Name:LEGARD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-2302
Mailing Address - Country:US
Mailing Address - Phone:806-792-7531
Mailing Address - Fax:806-792-8336
Practice Address - Street 1:3404 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-2302
Practice Address - Country:US
Practice Address - Phone:806-792-7531
Practice Address - Fax:806-792-8336
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist