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General NPI Number Information
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NPI Number | 1619035219
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Entity Type | Organization
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Legal Business Name | RX IV INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1938 WOODSLEE DR SUITE 200
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City | TROY
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State | MI
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Zip | 48083-2235
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Country | US
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Telephone | 248-435-9400
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Fax | 248-619-9624
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Provider Business Mailing Address
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Address Line | 1938 WOODSLEE DR SUITE 200
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City | TROY
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State | MI
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Zip | 48083-2235
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Country | US
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Telephone | 248-435-9400
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Fax | 248-619-9624
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | GREGORY JAMIAN
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Credential |
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Telephone | 248-435-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 5301005865
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 5301005865
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | BR3638232
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License Number State | MI
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