MEDICARE: MNC RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1134282403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MNC RX INC

Provider Business Mailing Address
First Line	:	5827 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3209
Country	:	US
Telephone Number	:	305-477-6507
Fax Number	:	305-477-6518

Provider Business Practice Location Address
First Line	:	5827 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3209
Country	:	US
Telephone Number	:	305-477-6507
Fax Number	:	305-477-6518

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MUTAHER CHAUDHRY
Credential	:
Telephone Number	:	305-477-6507

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	08/22/2020

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