Mahanna Pharmacy Inc

Organization Active NPI Community/Retail Pharmacy · Hoxie, KS

NPI 1851434872 · NPPES record last updated Nov 30, 2016

Key facts

NPI
1851434872
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
2-09099 (KS)
Legal business name
MAHANNA PHARMACY INC
Practice address
833 Main St
Hoxie, KS 67740-9735
Phone
(785) 675-3112
Fax
(785) 675-3112
NPI assigned
Feb 15, 2007
Organization subpart
No

Authorized official

Name
David Mahanna, RPH
Title
Ceo
Phone
(785) 675-3461

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-09099 KS Yes
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

833 Main St
Hoxie, KS 67740-9735

Mailing address

PO Box 288
Hoxie, KS 67740-0288
Phone (785) 675-3461

Other identifiers

IdentifierTypeStateIssuer
100434540AMedicaidKS
2031038OtherPK

Other names

  • MAHANNA PHARMACY INC Doing business as

Other providers in Hoxie, KS

All providers in Hoxie, KS · Community/Retail Pharmacy in Kansas

Sources for this page

Verify at the official NPI Registry.