Healthcare Provider Details

I. General information

NPI: 1578680864
Provider Name (Legal Business Name): JANES RX DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 N MAIN ST
MARS HILL NC
28754
US

IV. Provider business mailing address

PO BOX 1117
MARS HILL NC
28754-1117
US

V. Phone/Fax

Practice location:
  • Phone: 828-689-4612
  • Fax: 828-689-4511
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number07713
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JANE MANEY
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 828-689-4612