Jason Dale Kinyon, PHARMD
NPI #1215226816 in Gallup, New Mexico
Provider Information
- NPI Number
- 1215226816
- Entity Type
- Individual
- Name
- Jason Dale Kinyon, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Apr 4, 2011
- Last Updated
- Apr 4, 2011
Practice Location
- Address
- 516 E NIZHONI BLVD
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5748
- Phone
- (505) 722-1185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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