Provider Demographics
NPI:1174849236
Name:GINTER, DAWN (RPH)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:GINTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1577 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-4705
Mailing Address - Country:US
Mailing Address - Phone:716-298-3140
Mailing Address - Fax:716-298-3196
Practice Address - Street 1:1577 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-4705
Practice Address - Country:US
Practice Address - Phone:716-298-3140
Practice Address - Fax:716-298-3196
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist