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	PH22243	FL
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1022021	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1477647881
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5827 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3209
Country	:	US
Telephone Number	:	561-514-8677
Fax Number	:	561-514-8717

Authorized Official
Title or Position	:	SECRETARY
Name	:	MUZAFFAR CHOUDHRY
Credential	:
Telephone Number	:	772-240-6425

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/11/2025

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