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
15125 CEDAR AVE, APPLE VALLEY, MN 55124-7111
(952) 431-9774
(952) 997-4685
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
262516
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2426446
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
285412100
—
MN
Enumeration date
01/05/2007
Last updated
03/20/2013
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