Provider Demographics
NPI:1639742679
Name:JANUS RX LLC
Entity Type:Organization
Organization Name:JANUS RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, HR
Authorized Official - Prefix:
Authorized Official - First Name:JANUARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-819-4511
Mailing Address - Street 1:3480 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-1700
Mailing Address - Country:US
Mailing Address - Phone:334-819-4500
Mailing Address - Fax:
Practice Address - Street 1:900 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2452
Practice Address - Country:US
Practice Address - Phone:614-505-3381
Practice Address - Fax:614-505-8343
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JANUS RX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy