Southwest Pharmacy

LBN: Mjrx Iv, Llc
Southwest Pharmacy is an health care organization with primary practice located at 2402 W Pierce St Ste 1A , Carlsbad NM 88220-3568. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mjrx Iv, Llc can be contacted via phone (575) 887-6611, or through Kocherhans, Stephen J via phone (505) 881-4601.

Contact Information

Primary practice address
2402 W Pierce St Ste 1A Carlsbad NM 88220-3568
Fax: (575) 557-0782
Website:
Authorized official contact:
Name: Kocherhans, Stephen J

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PH00002987 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X PH00002987 New Mexico

Profile Details

NPI number 1700810959
LBN Legal business name Mjrx Iv, Llc
DBA Doing business as Southwest Pharmacy
Authorized official Kocherhans, Stephen J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Nov 19th, 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 1700810959 NPPES
New Mexico MEDICAID 63016

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