# RELIABLE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518211226
- **Authorized official:** SAMUEL AYUK TAKOR (OWNER)
- **Authorized official phone:** (770) 745-8890

## Contact information

- **Practice address:** 3999 AUSTELL RD, SUITE 903, AUSTELL, GA 30106-1100
- **Practice address phone:** (770) 745-8890
- **Mailing address:** 3999 AUSTELL RD, SUITE 903, AUSTELL, GA 30106-1100
- **Mailing address phone:** (770) 745-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | GA | Yes |

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 11/01/2012