Provider Demographics
NPI:1073600581
Name:RIBICH, ANASTASIA CONSTANTINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANASTASIA
Middle Name:CONSTANTINE
Last Name:RIBICH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 SIR RICHARD AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-4131
Mailing Address - Country:US
Mailing Address - Phone:440-526-3030
Mailing Address - Fax:440-717-2827
Practice Address - Street 1:4250 SIR RICHARD AVE
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4131
Practice Address - Country:US
Practice Address - Phone:440-526-3030
Practice Address - Fax:440-717-2827
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-034091835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy