Individual
MR. KIMBALL ANTHONY LUTOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4216
Mailing address
919 GRIGGS AVE, GRAFTON, ND 58237-1441
(701) 352-3555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3813
ND
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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