Provider Demographics
NPI:1801208491
Name:RELIANT CARE SOLUTIONS LP
Entity Type:Organization
Organization Name:RELIANT CARE SOLUTIONS LP
Other - Org Name:RELIANT CARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY COMPLIANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GENNARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:215-547-1700
Mailing Address - Street 1:8 NESHAMINY INTERPLEX DR
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6933
Mailing Address - Country:US
Mailing Address - Phone:215-547-1700
Mailing Address - Fax:215-547-1722
Practice Address - Street 1:8 NESHAMINY INTERPLEX DR STE 102
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6979
Practice Address - Country:US
Practice Address - Phone:215-547-1700
Practice Address - Fax:215-547-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-30
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0004X, 3336H0001X, 3336S0011X
PAPP4824543336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033343420001Medicaid
2145947OtherPK