Organization
RELIABLE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL AYUK TAKOR (OWNER)
(770) 745-8890
Entity
Organization
Contact information
Practice address
3999 AUSTELL RD, SUITE 903, AUSTELL, GA 30106-1100
(770) 745-8890
Mailing address
3999 AUSTELL RD, SUITE 903, AUSTELL, GA 30106-1100
(770) 745-8890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
GA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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