# MANSFIELD DRUG STORE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mansfield Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114736998
- **Authorized official:** DR. NILAY ANIL PATEL PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (318) 872-1933

## Contact information

- **Practice address:** 132 JEFFERSON ST, MANSFIELD, LA 71052-2602
- **Practice address phone:** (318) 872-1933
- **Practice address fax:** (318) 872-5816
- **Mailing address:** 132 JEFFERSON ST, MANSFIELD, LA 71052-2602
- **Mailing address phone:** (318) 872-1933
- **Mailing address fax:** (318) 872-5816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 09/24/2025