MEDICARE: AMJ 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	PH21104	FL

General Provider Information

NPI Number	:	1578650974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMJ RX INC

Provider Business Mailing Address
First Line	:	2804 N UNIVERSITY DR
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33322-2450
Country	:	US
Telephone Number	:	954-746-5890
Fax Number	:

Provider Business Practice Location Address
First Line	:	2804 N UNIVERSITY DR
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33322-2450
Country	:	US
Telephone Number	:	954-746-5890
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	ANGELA M LAWSON
Credential	:
Telephone Number	:	954-746-5890

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	08/22/2020

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Directions to “AMJ RX INC ” Practice Location

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