| NPI | 1861581415 |
|---|---|
| Doing Business As | MAHONEY'S COMPOUNDING PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | SAM MAHONEY President 913-956-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KS 2-07293) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-06-20 |