Reliant Care Pharmacy Services Llc
Long Term Care Pharmacy
4105 Westcor Ct Ste 1, Coralville
Iowa, 52241-2874
319-545-5100 319-545-5103
Reliant Care Pharmacy Services Llc is a Long Term Care Pharmacy in Coralville, Iowa. It is located at 4105 Westcor Ct Ste 1, Coralville and it's customer support contact number is 319-545-5100. The authorized person of Reliant Care Pharmacy Services Llc is Devin R Rujawitz who is Billing Manager of the pharmacy and his contact number is 314-597-1809. Active license number of Reliant Care Pharmacy Services Llc is 1373 for Long Term Care Pharmacy in Iowa. Reliant Care Pharmacy Services Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Reliant Care Pharmacy Services Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Reliant Care Pharmacy Services Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Reliant Care Pharmacy Services Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 4105 Westcor Ct Ste 1, Coralville,
Iowa, 52241-2874 |
| Phone: | 319-545-5100 |
| Fax: | 319-545-5103 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Devin R Rujawitz |
| Position: | Billing Manager |
| Contact Number: | 314-597-1809 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1487977195 |
| NPI Enumeration Date: | 09 Mar, 2010 |
| NPI Last Update On: | 15 Dec, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Reliant Care Pharmacy Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 1373 | Iowa | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0102901 | Medicaid | Iowa | |
| 100258954 | Medicaid | Nebraska | |
| 2124590 | Other | | Pk |
Medicare Enrollment:
Reliant Care Pharmacy Services Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2860525326 | O20100804000443 | Kedo Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4105 Westcor Ct Ste 1,
Coralville, Iowa |
| Zip: | 52241-2874 |
| Phone Number: | 319-545-5100 |
| Fax Number: | 319-545-5103 |
Patients can reach Reliant Care Pharmacy Services Llc at
4105 Westcor Ct Ste 1, Coralville, Iowa or can
call on customer care at 319-545-5100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.