Provider Demographics
NPI:1720241508
Name:COX, JANA R
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:R
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 ATLANTA HWY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-2109
Mailing Address - Country:US
Mailing Address - Phone:334-277-9676
Mailing Address - Fax:334-277-9620
Practice Address - Street 1:5841 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-2109
Practice Address - Country:US
Practice Address - Phone:334-277-9676
Practice Address - Fax:334-277-9620
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13232183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist