Individual
KEITH MICHAEL GINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
444 SE STEPHENS ST, ROSEBURG, OR 97470-3136
(541) 672-4896
(541) 957-1491
Mailing address
444 SE STEPHENS ST, ROSEBURG, OR 97470-3136
(541) 672-4896
(541) 957-1491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016261
OR
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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