Individual
KEVIN GINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 BROOKS ST, MISSOULA, MT 59801-6649
(406) 728-2089
Mailing address
2100 BROOKS ST, MISSOULA, MT 59801-6649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71485
MT
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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