Organization
RELIANCE BLOOMFIELD LLC
Active
Other names
RELIANCE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAHMAJI VALIVETI (CEO)
(917) 676-1811
Entity
Organization
Contact information
Practice address
699 COTTAGE GROVE ROAD, BLOOMFIELD, CT 06002
(860) 242-3332
Mailing address
203 BENNINGTON TERRACE, PARAMUS, NJ 07652
(917) 676-1811
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY0002199
CT
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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