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Organization

MJRX II LLC

Active
Other names
BEST BUY DRUGS
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN J KOCHERHANS (OWNER)
(505) 299-4496
Entity
Organization

Contact information

Practice address
1445 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-3849
(505) 299-4496
(505) 299-7713
Mailing address
1445 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-3849
(505) 299-4496
(505) 299-7713

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00004054
NM
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2057193
PK
05
63792
NM
Enumeration date
07/20/2005
Last updated
01/29/2021
About Stedi
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