Healthcare Provider Details

I. General information

NPI: 1477647881
Provider Name (Legal Business Name): MNC RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5827 LAKE WORTH RD
GREENACRES FL
33463-3209
US

IV. Provider business mailing address

5827 LAKE WORTH RD
GREENACRES FL
33463-3209
US

V. Phone/Fax

Practice location:
  • Phone: 561-514-8677
  • Fax: 561-514-8717
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH22243
License Number StateFL

VIII. Authorized Official

Name: MUZAFFAR CHOUDHRY
Title or Position: SECRETARY
Credential:
Phone: 772-240-6425