Provider Demographics
NPI:1003418450
Name:LEHAN DRUGS, INC.
Entity Type:Organization
Organization Name:LEHAN DRUGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-758-0911
Mailing Address - Street 1:1407 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-4651
Mailing Address - Country:US
Mailing Address - Phone:815-758-0911
Mailing Address - Fax:
Practice Address - Street 1:1211 17TH AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-2050
Practice Address - Country:US
Practice Address - Phone:815-766-3461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEHAN DRUGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies