Whalio Doctors

NPI 1700810959

Mjrx IV, LLC

Organisation Community/Retail Pharmacy Carlsbad, NM

Practice location

Address
2402 W Pierce St STE 1a, Carlsbad, NM 88220-3568
Phone
(575) 887-6611
Fax
(575) 557-0782
Mailing address
7209 Jefferson St NE, Albuquerque, NM 87109-4307

Authorised official

Name
Stephen J Kocherhans
Title
Owne/Ceo
Phone
(505) 881-4601

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PH00002987 (NM)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence PH00002987 (NM)

Registry record

NPI
1700810959
Entity type
Organization
NPI issued
11 Jul 2006
Record last updated
19 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.