Provider Demographics
NPI:1710461199
Name:RELIABLE PHARMACY INC
Entity Type:Organization
Organization Name:RELIABLE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:SHALOM
Authorized Official - Last Name:KIKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-880-1514
Mailing Address - Street 1:10710A 71ST RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4719
Mailing Address - Country:US
Mailing Address - Phone:718-880-1514
Mailing Address - Fax:646-397-3851
Practice Address - Street 1:10710A 71ST RD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4719
Practice Address - Country:US
Practice Address - Phone:718-880-1514
Practice Address - Fax:646-397-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy