Organization
RELIANT RX LLC
Active
Other names
RELIANT RX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY KROETCH (OWNER)
(509) 343-3400
Entity
Organization
Contact information
Practice address
2820 N ASTOR ST, SPOKANE, WA 99207-2112
(509) 343-3400
(509) 340-7323
Mailing address
2820 N ASTOR ST, SPOKANE, WA 99207-2112
(509) 343-3400
(509) 340-7323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHARCF60525752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2109146
PK
—
Enumeration date
09/20/2007
Last updated
06/20/2016
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