Organization
RELIANCE SPECIALTY INFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA GRAVINA CEO (CEO)
(602) 821-8218
Entity
Organization
Contact information
Practice address
5425 E BELL RD, SUITE 104, SCOTTSDALE, AZ 85254-6007
(602) 734-5799
(602) 639-4596
Mailing address
31827 N 53RD ST, CAVE CREEK, AZ 85331-5569
(602) 821-8218
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
Y005540
AZ
Other
Enumeration date
09/27/2012
Last updated
04/06/2015
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