Provider Demographics
NPI:1487046736
Name:RELIABLE PHARMACY, LLC
Entity type:Organization
Organization Name:RELIABLE PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSAFTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-293-4524
Mailing Address - Street 1:1757 SAN MARCO RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-5151
Mailing Address - Country:US
Mailing Address - Phone:239-970-0415
Mailing Address - Fax:
Practice Address - Street 1:1757 SAN MARCO RD
Practice Address - Street 2:UNIT B
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-5151
Practice Address - Country:US
Practice Address - Phone:239-970-0415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH285883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy