<Unavail>

LBN: Mjrx Ii Llc
<Unavail> is an health care organization with primary practice located at 1445 Wyoming Blvd Ne , Albuquerque NM 87112-3849. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mjrx Ii Llc can be contacted via phone (505) 299-4496, or through Kocherhans, Stephen J via phone (505) 299-4496.

Contact Information

Primary practice address
1445 Wyoming Blvd Ne Albuquerque NM 87112-3849
Phone: (505) 299-4496
Fax: (505) 299-7713
Website:
Map and Directions
Authorized official contact:
Name: Kocherhans, Stephen J
Phone: (505) 299-4496

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH00004054 New Mexico
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1245239185
LBN Legal business name Mjrx Ii Llc
DBA Doing business as <Unavail>
Authorized official Kocherhans, Stephen J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 29th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245239185 NPPES
Other 2057193 PK
MEDICAID 63792 PK

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