Provider Demographics
NPI:1538976766
Name:RELIABLE MEDS SUPPLIER INC.
Entity type:Organization
Organization Name:RELIABLE MEDS SUPPLIER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:GM
Authorized Official - Phone:757-990-9999
Mailing Address - Street 1:2356 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBRG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4900
Mailing Address - Country:US
Mailing Address - Phone:757-990-9999
Mailing Address - Fax:
Practice Address - Street 1:2356 PLANK RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBRG
Practice Address - State:VA
Practice Address - Zip Code:22401-4900
Practice Address - Country:US
Practice Address - Phone:757-990-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies