Organization
RBF LLC
Active
Other names
RAINBOW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KITZ (GVP - LEGAL RISK & TREASURY)
(414) 231-5000
Entity
Organization
Contact information
Practice address
3340 124TH AVE NW, COON RAPIDS, MN 55433-1001
(763) 576-9343
(763) 712-2819
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
262314
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048441
PK
—
05
—
300448100
—
MN
Enumeration date
01/05/2007
Last updated
07/02/2013
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