MEDICARE: AMJN PHARMACY 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	:	1982543427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMJN PHARMACY INC

Provider Business Mailing Address
First Line	:	11006 MAIN ST
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2617
Country	:	US
Telephone Number	:	626-579-6277
Fax Number	:	626-579-6739

Provider Business Practice Location Address
First Line	:	11006 MAIN ST
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2617
Country	:	US
Telephone Number	:	626-579-6277
Fax Number	:	626-579-6739

Authorized Official
Title or Position	:	OWNER
Name	:	MAGDY BOTROS
Credential	:
Telephone Number	:	626-579-6277

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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