Healthcare Provider Details

I. General information

NPI: 1235804824
Provider Name (Legal Business Name): JANUS RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W 7TH ST STE 117
LONDON KY
40741-1763
US

IV. Provider business mailing address

3480 EASTERN BLVD
MONTGOMERY AL
36116-1700
US

V. Phone/Fax

Practice location:
  • Phone: 593-311-2838
  • Fax: 859-331-1309
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: JANUARY MILLER
Title or Position: HR
Credential:
Phone: 334-819-4511