Individual
COLIN FRANCIS RYBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
596 U.S. RT 11, TULLY, NY 13159
(315) 696-8796
Mailing address
29 EAST MAIN STREET, GOUVENEUR, NY 13642
(315) 287-3600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I062555
NY
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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