Provider Demographics
NPI:1164727707
Name:LEHAN PHARMACY INC.
Entity Type:Organization
Organization Name:LEHAN PHARMACY INC.
Other - Org Name:LEHAN PHARMACY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-483-2884
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:IA
Mailing Address - Zip Code:51553-0157
Mailing Address - Country:US
Mailing Address - Phone:712-483-2884
Mailing Address - Fax:712-483-2883
Practice Address - Street 1:317 MAIN ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:IA
Practice Address - Zip Code:51553-2125
Practice Address - Country:US
Practice Address - Phone:712-483-2884
Practice Address - Fax:712-483-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
IA7493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1623974OtherNCPDP PROVIDER IDENTIFICATION NUMBER