Provider Demographics
NPI:1467887000
Name:RELIANCE BEST PHARMACY LLC
Entity Type:Organization
Organization Name:RELIANCE BEST PHARMACY LLC
Other - Org Name:FARMACIA DEL PUEBLO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/RPH
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAHMAJI
Authorized Official - Middle Name:
Authorized Official - Last Name:VALIVETI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:760-344-2000
Mailing Address - Street 1:653 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-2547
Mailing Address - Country:US
Mailing Address - Phone:760-344-2000
Mailing Address - Fax:760-344-3914
Practice Address - Street 1:653 MAIN ST
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-2547
Practice Address - Country:US
Practice Address - Phone:760-344-2000
Practice Address - Fax:760-344-3914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy