Healthcare Provider Details

I. General information

NPI: 1326645490
Provider Name (Legal Business Name): JANUS RX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13540 W CAMINO DEL SOL STE 1
SUN CITY AZ
85375-4435
US

IV. Provider business mailing address

3480 EASTERN BLVD
MONTGOMERY AL
36116-1700
US

V. Phone/Fax

Practice location:
  • Phone: 623-248-9199
  • Fax:
Mailing address:
  • Phone: 334-819-4500
  • 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: KRYSTAL MIMS
Title or Position: OWNER
Credential:
Phone: 334-819-4500