Organization
RELIANT RX, LLC
Active
Parent organization
RELIANT RX, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIANT RX, LLC
Authorized official
MRS. TAMMY MARIE KROETCH (CEO)
(509) 343-3400
Entity
Organization
Contact information
Practice address
767 WILLIAMS BLVD, RICHLAND, WA 99354-3221
(866) 440-5457
(844) 340-7322
Mailing address
2820 N ASTOR ST, SPOKANE, WA 99207-2112
(509) 343-3400
(509) 340-7323
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHAR.CF.60558051
WA
3336C0002X
Clinic Pharmacy
PHAR.CF.60558051
WA
3336C0003X
Community/Retail Pharmacy
PHAR.CF.60558051
WA
3336C0004X
Compounding Pharmacy
PHAR.CF.60558051
WA
3336L0003X
Long Term Care Pharmacy
Primary
PHAR.CF.60558051
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045307
—
WA
Enumeration date
04/30/2015
Last updated
04/28/2016
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