Provider Demographics
NPI:1902584956
Name:LOMBOY, RYBACK CYZR OLAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RYBACK CYZR
Middle Name:OLAY
Last Name:LOMBOY
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 LOOMIS DR APT 304
Mailing Address - Street 2:
Mailing Address - City:MAUSTON
Mailing Address - State:WI
Mailing Address - Zip Code:53948-1536
Mailing Address - Country:US
Mailing Address - Phone:870-514-7865
Mailing Address - Fax:
Practice Address - Street 1:406 GATEWAY AVE
Practice Address - Street 2:
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948-1401
Practice Address - Country:US
Practice Address - Phone:608-847-5949
Practice Address - Fax:608-847-5199
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI22858-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist