Individual
DR. IAN REBENOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2770 W BROAD ST, COLUMBUS, OH 43204-2641
(614) 276-9745
Mailing address
2770 W BROAD ST, COLUMBUS, OH 43204-2641
(614) 276-9745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03440125
OH
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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