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Contact Information

MANGHAM RX DRUGS, INC
104 LOUISIANA ST
MANGHAM, LA71259
 Phone: 318-248-2345
 Fax: 318-248-3651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MANGHAM RX DRUGS, INC

NPI # 1700841079
LBN Legal business name MANGHAM RX DRUGS, INC
Authorized official DAVID GIBSON - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
LA License # 4311
LA Medicaid 1267422
LA Other WBJS813 CCR
LA Other 1919616 NCPDP
LA Other 4311 PHARMACY STATE ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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