Individual
GINBAR DASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 S WILLOW ST APT 9308, DENVER, CO 80247-2157
(510) 759-9060
Mailing address
1300 S WILLOW ST APT 9308, DENVER, CO 80247-2157
(510) 759-9060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0021216
CO
183500000X
Pharmacist
Primary
74712
CA
Other
Enumeration date
09/18/2016
Last updated
09/18/2016
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