Organization
RBF LLC
Active
Other names
RAINBOW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KITZ (GVP - LEGAL RISK & TREASURY)
(414) 231-5904
Entity
Organization
Contact information
Practice address
17756 KENWOOD TRL, LAKEVILLE, MN 55044-9454
(952) 898-4505
(952) 898-6361
Mailing address
PO BOX 473, MS 2870, MILWAUKEE, WI 53201-0473
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262624
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048589
PK
—
05
—
996412600
—
MN
Enumeration date
01/05/2007
Last updated
03/25/2014
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