Organization
RX IV INC
Active
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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