MEDICARE: RONALD PAUL GARBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03112343	OH

General Provider Information

NPI Number	:	1588955850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD PAUL GARBA

Provider Business Mailing Address
First Line	:	1224 RIVERSIDE DR
Second Line	:
City	:	HURON
State	:	OH
Zip	:	44839-2630
Country	:	US
Telephone Number	:	419-433-3892
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 BROADVIEW RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-4177
Country	:	US
Telephone Number	:	216-661-5077
Fax Number	:	216-661-8508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	04/21/2011

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Directions to “ RONALD PAUL GARBA ” Practice Location

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