Provider Demographics
NPI:1700419454
Name:JANUS RX
Entity Type:Organization
Organization Name:JANUS RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, JANUARY GREEN
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 1:836 E 65TH ST STE 42
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4496
Practice Address - Country:US
Practice Address - Phone:912-355-3230
Practice Address - Fax:912-355-0549
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JANUS RXLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-20
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy