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Contact Information

MJRX II LLC
1445 WYOMING BLVD NE
ALBUQUERQUE, NM87112-3849
 Phone: 505-299-4496
 Fax: 505-299-7713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MJRX II LLC

NPI # 1245239185
LBN Legal business name MJRX II LLC
Authorized official STEPHEN KOCHERHANS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2005
Last updated 01/29/2021 - About 5 years ago
Identifiers
NM License # PH00004054
NM Medicaid 63792
Other 2057193 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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