=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982543427
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMJN PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2026
-----------------------------------------------------
Last Update Date | 03/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11006 MAIN ST
-----------------------------------------------------
City | EL MONTE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91731-2617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-579-6277
-----------------------------------------------------
Fax | 626-579-6739
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11006 MAIN ST
-----------------------------------------------------
City | EL MONTE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91731-2617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-579-6277
-----------------------------------------------------
Fax | 626-579-6739
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MAGDY BOTROS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 626-579-6277
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------