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Organization

RX IV INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY JAMIAN (PRESIDENT/CEO)
(248) 435-9400
Entity
Organization

Contact information

Practice address
1938 WOODSLEE DR, SUITE 200, TROY, MI 48083-2235
(248) 435-9400
(248) 619-9624
Mailing address
1938 WOODSLEE DR, SUITE 200, TROY, MI 48083-2235
(248) 435-9400
(248) 619-9624

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
5301005865
MI
332B00000X
Durable Medical Equipment & Medical Supplies
MI
3336C0003X
Community/Retail Pharmacy
Primary
BR3638232
MI
3336H0001X
Home Infusion Therapy Pharmacy
5301005865
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2351396
BC
MI
05
2916690
MI
05
2921635
MI
01
5301005865
MICHIGAN STATE PHARMACY ID
MI
01
540F307560
BC
MI
01
58512A
HAP
MI
Enumeration date
12/05/2006
Last updated
08/21/2025
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