Healthcare Provider Details

I. General information

NPI: 1356147482
Provider Name (Legal Business Name): MANA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 W CHANDLER BLVD #3
CHANDLER AZ
85226
US

IV. Provider business mailing address

5700 W CHANDLER BLVD #3
CHANDLER AZ
85226
US

V. Phone/Fax

Practice location:
  • Phone: 480-863-6319
  • Fax: 480-863-6038
Mailing address:
  • Phone: 480-863-6319
  • Fax: 480-863-6038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HANG M. TRAN
Title or Position: OWNER
Credential:
Phone: 480-773-9902