MJRX V, LLC; NPI #1437170404

Contact Information

MJRX V, LLC

2402 W PIERCE ST
STE 2B
CARLSBAD, NM 88220-3537

Phone: 575-885-2979
Fax: 575-885-2979
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MJRX V, LLC

NPI # 1437170404

LBN Legal business name MJRX V, LLC

Authorized official STEPHEN KOCHERHANS - (OWNER/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/22/2006

Last updated 11/19/2021 - About 5 years ago

Identifiers

NM	License #	PH00002988
NM	Medicaid	55533

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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