# RELIANT CARE PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trio Pharmacy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487977195
- **Authorized official:** DEVIN R RUJAWITZ (BILLING MANAGER)
- **Authorized official phone:** (314) 597-1809

## Contact information

- **Practice address:** 4105 WESTCOR CT STE 1, CORALVILLE, IA 52241-2874
- **Practice address phone:** (319) 545-5100
- **Practice address fax:** (319) 545-5103
- **Mailing address:** 4105 WESTCOR CT STE 1, CORALVILLE, IA 52241-2874
- **Mailing address phone:** (319) 545-5100
- **Mailing address fax:** (319) 545-5103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 1373 | IA | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 12/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0102901 | — | IA |
| 05 | — | 100258954 | — | NE |
| 01 | — | 2124590 | PK | — |