Organization
RBK CO
Active
Other names
MEDICINE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KUBASAK (PRESIDENT)
(440) 366-9670
Entity
Organization
Contact information
Practice address
3202 OBERLIN AVE, LORAIN, OH 44053-2752
(440) 282-4044
(440) 282-6328
Mailing address
3202 OBERLIN AVE, LORAIN, OH 44053-2752
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0645305
—
OH
01
—
3645768
OTHER ID NUMBER
—
Enumeration date
09/09/2005
Last updated
09/13/2007
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