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MCMAHAN PHARMACY SERVICES INC. NPI 1679134845


NPI Information

NPI: 1679134845
Provider Name: MCMAHAN PHARMACY SERVICES, INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 45D2161696

Address:
1503 W FRONT ST
GOLDTHWAITE, TX
ZIP 76844
Phone: (325) 648-2484
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MCMAHAN PHARMACY SERVICES, INC. is a long term care pharmacy pharmacy in Goldthwaite, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MCMAHAN PHARMACY SERVICES, INC. NPI is 1679134845. The provider is registered as an organization entity type.

The provider's business location address is:

1503 W FRONT ST
GOLDTHWAITE, TX
ZIP 76844-056
Phone: (325) 648-2484
Fax: (855) 899-4147

The provider's authorized official is Michael Mcmahan .
The authorized official title is Owner, Pic and has the following contact phone number (325) 648-2484.

The CLIA number assigned to this NPI record is 45D2161696 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2019 and was last updated on 6/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1141499MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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