<Unavail>

LBN: Reliant Care Pharmacy Services Llc
<Unavail> is an health care organization with primary practice located at 4105 Westcor Ct Ste 1 , Coralville IA 52241-2874. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Reliant Care Pharmacy Services Llc can be contacted via phone (319) 545-5100, or through Rujawitz, Devin R via phone (314) 597-1809.

Contact Information

Primary practice address
4105 Westcor Ct Ste 1 Coralville IA 52241-2874
Phone: (319) 545-5100
Fax: (319) 545-5103
Website:
Map and Directions
Authorized official contact:
Name: Rujawitz, Devin R
Phone: (314) 597-1809

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 1373 Iowa

Profile Details

NPI number 1487977195
LBN Legal business name Reliant Care Pharmacy Services Llc
DBA Doing business as <Unavail>
Authorized official Rujawitz, Devin R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2010
Last updated Dec 15th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487977195 NPPES
Iowa MEDICAID 0102901
Iowa MEDICAID 100258954
Iowa Other 2124590

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