Organization
MJRX LLC
Active
Other names
Rx Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KOCHERHANS (OWNER)
(505) 881-4601
Entity
Organization
Contact information
Practice address
7209 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4307
(505) 881-4601
(505) 881-4647
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
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH00003733
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147882
PK
—
05
—
25307541
—
NM
Enumeration date
03/20/2006
Last updated
01/26/2021
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