Provider Demographics
NPI:1215186325
Name:BARBIC, RONALD JR (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:BARBIC
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2909
Mailing Address - Country:US
Mailing Address - Phone:585-872-0690
Mailing Address - Fax:585-872-0722
Practice Address - Street 1:1125 RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2909
Practice Address - Country:US
Practice Address - Phone:585-872-0690
Practice Address - Fax:585-872-0722
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist