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Contact Information

MJRRX INC
56 MAIN ST STE 2
NICHOLSON, PA18446
 Phone: 570-942-8700
 Fax: 570-942-8702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MJRRX INC

NPI Number 1164458915
LBN Legal business name MJRRX INC
Authorized official LORI KRUKOWSKI - (ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
PA License # PP481133
PA Medicaid 1012478650002
Other 3980415 OTHER ID NUMBER-COMMERCIAL NUMBER
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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