Healthcare Provider Details

I. General information

NPI: 1285587238
Provider Name (Legal Business Name): RELIANCE PHARMACY 2 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
MANGONIA PARK FL
33407-2413
US

IV. Provider business mailing address

2100 45TH ST STE B1
WEST PALM BEACH FL
33407-2063
US

V. Phone/Fax

Practice location:
  • Phone: 561-329-2376
  • Fax:
Mailing address:
  • Phone: 561-329-2376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TAPAN SHAH
Title or Position: MANAGER
Credential: PHARM. D.
Phone: 561-329-2376