Provider Demographics
NPI:1811881626
Name:MAGNA PHARMACEUTICALS, INC
Entity type:Organization
Organization Name:MAGNA PHARMACEUTICALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-254-5552
Mailing Address - Street 1:10801 ELECTRON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-3880
Mailing Address - Country:US
Mailing Address - Phone:502-254-5552
Mailing Address - Fax:502-254-9279
Practice Address - Street 1:10801 ELECTRON DR STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-3880
Practice Address - Country:US
Practice Address - Phone:502-254-5552
Practice Address - Fax:502-254-9279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy