Organization
RELIANT PHARMACY LLC
Active
Other names
RELIANT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SATYANARAYANA VALIVETI (MANAGER)
(203) 262-8000
Entity
Organization
Contact information
Practice address
200 MAIN ST S, SOUTHBURY, CT 06488-4250
(203) 262-8000
(203) 262-6477
Mailing address
200 MAIN ST S, SOUTHBURY, CT 06488-4250
(203) 262-8000
(203) 262-6477
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0722086
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/24/2010
Last updated
10/15/2010
Update your record
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