<Unavail>

LBN: Mjrx V, Llc
<Unavail> is an health care organization with primary practice located at 2402 W Pierce St Ste 2B, Carlsbad NM 88220-3537. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Mjrx V, Llc can be contacted via phone (575) 885-2979, or through Kocherhans, Stephen J via phone (505) 881-4601.

Contact Information

Primary practice address
2402 W Pierce St Ste 2B Carlsbad NM 88220-3537
Phone: (575) 885-2979
Fax: (575) 885-2979
Website:
Map and Directions
Authorized official contact:
Name: Kocherhans, Stephen J
Phone: (505) 881-4601

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PH00002988 New Mexico

Profile Details

NPI number 1437170404
LBN Legal business name Mjrx V, Llc
DBA Doing business as <Unavail>
Authorized official Kocherhans, Stephen J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 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 1437170404 NPPES
New Mexico MEDICAID 55533

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