Healthcare Provider Details

I. General information

NPI: 1376397935
Provider Name (Legal Business Name): MILLENNIARX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 CRESTWOOD BLVD STE 100B
IRONDALE AL
35210-2034
US

IV. Provider business mailing address

1950 CRESTWOOD BLVD STE 100B
IRONDALE AL
35210-2034
US

V. Phone/Fax

Practice location:
  • Phone: 212-203-7787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BINYAMIN GREENBERG
Title or Position: MANAGING MEMBER
Credential:
Phone: 205-618-5767