Doctor Name: | JOHN GINNIMAN |
NPI Number: | 1447579206 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PS30531 |
Business Practice Address: | 100 Cheyenne Ave Lame Deer, MT - 590430070 |
Business Phone Number: | 4064774400 |
Business Fax Number: | 4064774427 |
Mailing Address: | 100 Cheyenne Ave., LAME DEER |
State: | MT |
Postal Code: | 59043 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/19/2010 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | PS30531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |