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NPI Code Detail

MEDICARE: DR. MAGNUS U LEGEMAH PHARMD

MEDICARE:  DR. MAGNUS U LEGEMAH  PHARMD
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
1183500000XPharmacist71695TX

General Provider Information

NPI Number : 1790493187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAGNUS U LEGEMAH PHARMD
Provider Business Mailing Address
First Line : 17703 FAIRHAVEN FALLS DR
Second Line :
City : CYPRESS
State : TX
Zip : 77433-3577
Country : US
Telephone Number : 281-907-2982
Fax Number :
Provider Business Practice Location Address
First Line : 7710 GESSNER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77040-5181
Country : US
Telephone Number : 713-849-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2022
Last Update Date : 11/14/2022

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Directions to “ DR. MAGNUS U LEGEMAH PHARMD” Practice Location

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