William H Legallee, PHARM.D.

Individual provider Active NPI Pharmacist · Annapolis Junction, MD

NPI 1306094263 · NPPES record last updated Aug 29, 2023

Key facts

NPI
1306094263
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
27076 (MD)
Practice address
9036 Junction Dr
Annapolis Junction, MD 20701-1130
Phone
(314) 281-6734
Fax
(314) 485-2297
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH100003900DCMDPharmacist
A1-0005509DEMDPharmacist
PS44762FLMDPharmacist
051-293458ILMDPharmacist
27076MDMDPharmacist
RP455193PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0005509 DE
Pharmacist 183500000X RP455193 PA
Pharmacist 183500000X PH100003900 DC
Pharmacist 183500000X 051-293458 IL
Pharmacist 183500000X PS44762 FL
Pharmacist 183500000X 27076 MD Yes

Addresses

Primary practice location

9036 Junction Dr
Annapolis Junction, MD 20701-1130

Mailing address

12524 Coopers LN
Worton, MD 21678-1351
Phone (314) 809-6710

Other providers in Annapolis Junction, MD

All providers in Annapolis Junction, MD · Pharmacist in Maryland

Sources for this page

Verify at the official NPI Registry.