SAN BABAN

BLACK JACK, MO
NPI1770194391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2017031679)
Enumeration Date2020-08-17
Last Update Date2020-08-17
Business Address
Dr. SAN BABAN Pharm D
12400 OLD HALLS FERRY RD
BLACK JACK, MO 63033-4202
Phone number: 314-741-8688
Mailing Address
Dr. SAN BABAN Pharm D
12400 OLD HALLS FERRY RD
BLACK JACK, MO 63033-4202
Phone number:
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