Organization
MAHANT LLC
Active
Other names
corner drug
Organization subpart
No
Provider details
NPI number
Authorized official
TRUSHAR PATEL (PHARMACIST)
(503) 752-4459
Entity
Organization
Contact information
Practice address
29670 ELLENSBURG AVE, GOLD BEACH, OR 97444-8701
(541) 247-4544
(541) 247-2604
Mailing address
29670 ELLENSBURG AVE, GOLD BEACH, OR 97444-8701
(541) 247-4544
(541) 247-2604
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172045
PK
—
05
—
500739552
—
OR
Enumeration date
10/12/2017
Last updated
09/19/2025
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