# RELIANCE IMPERIAL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA DEL PUEBLO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548080179
- **Authorized official:** BRAHMAJI VALIVETI (PRESIDENT)
- **Authorized official phone:** (917) 676-1811

## Contact information

- **Practice address:** 1692 S 4TH ST STE F, EL CENTRO, CA 92243-4747
- **Practice address phone:** (760) 353-9000
- **Practice address fax:** (760) 353-9888
- **Mailing address:** 1692 S 4TH ST STE F, EL CENTRO, CA 92243-4747
- **Mailing address phone:** (760) 353-9000
- **Mailing address fax:** (760) 353-9888

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2024
- **Last updated:** 10/17/2024