Healthcare Provider Details

I. General information

NPI: 1588897375
Provider Name (Legal Business Name): RELIANCE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 45TH ST STE B1
WEST PALM BEACH FL
33407-2063
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: 561-841-1801
  • Fax: 561-841-1885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberPH28578
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPH28578
License Number StateFL

VIII. Authorized Official

Name: DR. TAPAN SHAH
Title or Position: MANAGER
Credential:
Phone: 561-841-1801