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1891070199
KENNETH JOHN BAST
SAINT LOUIS, MO
NPI
1891070199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 2009011779)
Enumeration Date
2011-10-18
Last Update Date
2011-10-18
Business Address
Dr. KENNETH JOHN BAST PharmD
2933 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1008
Phone number: 314-773-2767
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Mailing Address
Dr. KENNETH JOHN BAST PharmD
3923 MCREE AVE
SAINT LOUIS, MO 63110-2628
Phone number: 636-399-1652
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