Organization
MJRX V, LLC
Active
Other names
ADVANCED MEDICATION MANAGEMENT SYSTEMS
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KOCHERHANS (OWNER/CEO)
(505) 881-4601
Entity
Organization
Contact information
Practice address
2402 W PIERCE ST, STE 2B, CARLSBAD, NM 88220-3537
(575) 885-2979
(575) 885-2979
Mailing address
7209 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4307
(505) 881-4601
(505) 881-4647
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH00002988
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55533
—
NM
Enumeration date
07/22/2006
Last updated
11/19/2021
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