MJRX II LLC
1445 Wyoming Blvd Ne
Albuquerque, NM 87112
505-299-4496
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers - Pharmacy - Long Term Care Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | NM | PH00004054 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2057193 | OTHER | |
63792 | NM | MEDICAID |