MEDICARE: RELIANCE PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH28578	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2148028	OTHER		PK

General Provider Information

NPI Number	:	1164660122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIANCE PHARMACY LLC

Provider Business Mailing Address
First Line	:	2100 45TH ST STE B1
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2063
Country	:	US
Telephone Number	:	561-841-1801
Fax Number	:	561-841-1885

Provider Business Practice Location Address
First Line	:	2100 45TH ST STE B1
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2063
Country	:	US
Telephone Number	:	561-841-1801
Fax Number	:	561-841-1885

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	TAPAN SHAH
Credential	:
Telephone Number	:	561-841-1801

Provider Enumeration Date	:	01/29/2009
Last Update Date	:	09/29/2025

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Directions to “RELIANCE PHARMACY LLC ” Practice Location

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