MANGHAM RX DRUGS, INC
104 Louisiana St
Mangham, LA 71259
318-248-2345
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | LA | 4311 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1267422 | LA | MEDICAID | |
PHARMACY STATE ID | 4311 | LA | OTHER |
CCR | WBJS813 | LA | OTHER |
NCPDP | 1919616 | LA | OTHER |
DEA | BM6489822 | LA | OTHER |