Organization
MAHANNA PHARMACY INC
Active
Other names
MAHANNA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MAHANNA RPH (CEO)
(785) 675-3461
Entity
Organization
Contact information
Practice address
833 MAIN ST, HOXIE, KS 67740-9735
(785) 675-3112
(785) 675-3112
Mailing address
PO BOX 288, HOXIE, KS 67740-0288
(785) 675-3461
(785) 675-3112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-09099
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100434540A
—
KS
01
—
2031038
PK
—
Enumeration date
02/15/2007
Last updated
11/30/2016
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