Provider Demographics
NPI:1518213966
Name:RABINOWITZ, NEAL (RPH)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 US HIGHWAY 93 N
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2547
Mailing Address - Country:US
Mailing Address - Phone:406-758-2528
Mailing Address - Fax:
Practice Address - Street 1:2330 US HIGHWAY 93 N
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2547
Practice Address - Country:US
Practice Address - Phone:406-758-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist