=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285587238
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RELIANCE PHARMACY 2 LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2026
-----------------------------------------------------
Last Update Date | 02/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 901 45TH ST
-----------------------------------------------------
City | MANGONIA PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33407-2413
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-329-2376
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2100 45TH ST STE B1
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33407-2063
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-329-2376
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | TAPAN SHAH
-----------------------------------------------------
Credential | PHARM. D.
-----------------------------------------------------
Telephone | 561-329-2376
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------