Organization · Type 2 NPI

Mantachie Pharmacy LLC

Community/Retail Pharmacy · Mantachie, MS

NPI number 1992292536 Active

Practice location

3309 Highway 371 N
Mantachie, MS 38855-7267

Fax (662) 282-7007

Mailing address

PO Box 96
Mantachie, MS 38855-0096

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X17079/1.1 (MS)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

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About NPI 1992292536

Mantachie Pharmacy LLC's National Provider Identifier is 1992292536, issued on Apr 19, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mantachie, MS. The record was last updated on Sep 18, 2025.