Provider Demographics
NPI:1326858655
Name:JMRX LLC
Entity type:Organization
Organization Name:JMRX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.I.C. / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGGORY
Authorized Official - Middle Name:TRENTON
Authorized Official - Last Name:LANCE
Authorized Official - Suffix:II
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:870-202-2536
Mailing Address - Street 1:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:AR
Mailing Address - Zip Code:72455-0572
Mailing Address - Country:US
Mailing Address - Phone:870-202-2536
Mailing Address - Fax:
Practice Address - Street 1:567 HIGHWAY 67 S STE A
Practice Address - Street 2:
Practice Address - City:POCAHONTAS
Practice Address - State:AR
Practice Address - Zip Code:72455-3773
Practice Address - Country:US
Practice Address - Phone:870-202-2536
Practice Address - Fax:870-202-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy