Provider Demographics
NPI:1760355747
Name:RYBCZYK, ROBERT EDWARD (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EDWARD
Last Name:RYBCZYK
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:28 WHEELER LN
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3834
Mailing Address - Country:US
Mailing Address - Phone:860-866-8450
Mailing Address - Fax:203-513-2292
Practice Address - Street 1:117 WASHINGTON AVE STE 14
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-1708
Practice Address - Country:US
Practice Address - Phone:203-513-2225
Practice Address - Fax:203-513-2292
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0004721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist