| Dr San Baban, PHARM D | |
|
12400 Old Halls Ferry Rd, Black Jack, MO 63033-4202 | |
| (314) 741-8688 | |
| Not Available |
| Full Name | Dr San Baban |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 12400 Old Halls Ferry Rd, Black Jack, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770194391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 2017031679 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr San Baban, PHARM D 12400 Old Halls Ferry Rd, Black Jack, MO 63033-4202 Ph: () - | Dr San Baban, PHARM D 12400 Old Halls Ferry Rd, Black Jack, MO 63033-4202 Ph: (314) 741-8688 |
News Archive
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› Verified 5 days ago
Jean-marc Bovee, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 12400 Old Halls Ferry Rd, Black Jack, MO 63033 Phone: 314-741-8688 |