Provider Demographics
NPI:1508458837
Name:RIELLES PHARMACY LLC
Entity Type:Organization
Organization Name:RIELLES PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AFUA
Authorized Official - Middle Name:ASANTEWAA
Authorized Official - Last Name:OSEI-AKOTO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:646-220-6244
Mailing Address - Street 1:3545 PEACHTREE INDUSTRIAL BLVD STE 13
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-8063
Mailing Address - Country:US
Mailing Address - Phone:646-220-6244
Mailing Address - Fax:
Practice Address - Street 1:3545 PEACHTREE INDUSTRIAL BLVD STE 13
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-8063
Practice Address - Country:US
Practice Address - Phone:646-220-6244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy