Provider Demographics
NPI:1811293707
Name:KALBUS, RODNEY HENRY (RPH)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:HENRY
Last Name:KALBUS
Suffix:
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 1:786 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1048
Mailing Address - Country:US
Mailing Address - Phone:330-535-3153
Mailing Address - Fax:330-996-4217
Practice Address - Street 1:786 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1048
Practice Address - Country:US
Practice Address - Phone:330-535-3153
Practice Address - Fax:330-996-4217
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03313377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist