MEDICARE: LEGBEX PHARMACY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1700725413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGBEX PHARMACY, LLC

Provider Business Mailing Address
First Line	:	1142 ATHENS HWY STE 105
Second Line	:
City	:	GRAYSON
State	:	GA
Zip	:	30017-1762
Country	:	US
Telephone Number	:	470-782-9355
Fax Number	:	470-208-2613

Provider Business Practice Location Address
First Line	:	1142 ATHENS HWY STE 105
Second Line	:
City	:	GRAYSON
State	:	GA
Zip	:	30017-1762
Country	:	US
Telephone Number	:	470-782-9355
Fax Number	:	470-208-2613

Authorized Official
Title or Position	:	OWNER / MANAGING MEMBER
Name	:	CHIGBO ANTHONY AGBASIONWE
Credential	:	PHARMD, MBA
Telephone Number	:	917-500-0565

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “LEGBEX PHARMACY, LLC ” Practice Location

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