# MANGHAM RX DRUGS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MANGHAM RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700841079
- **Authorized official:** DAVID P GIBSON RPH (PRES)
- **Authorized official phone:** (318) 248-2345

## Contact information

- **Practice address:** 104 LOUISIANA ST, MANGHAM, LA 71259
- **Practice address phone:** (318) 248-2345
- **Practice address fax:** (318) 248-3651
- **Mailing address:** PO BOX 207, MANGHAM, LA 71259-0207
- **Mailing address phone:** (318) 248-2345
- **Mailing address fax:** (318) 248-3651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 4311 | LA | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 03/07/2023