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Dr. San Baban, PHARMD
Pharmacist in Black Jack, Missouri
NPI 1770194391

San Baban is a Pharmacist based in Black Jack, MO. San Baban practices in Black Jack, MO and has the professional credentials of PHARMD. The NPI Number for San Baban is 1770194391 and holds a License No. 2017031679 (Missouri).

The current practice location address for San Baban is 12400 Old Halls Ferry Rd, Black Jack, MO and can be reached out via phone at 314-741-8688.

Location: 12400 Old Halls Ferry Rd, Black Jack, MO, 63033-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770194391
Provider Name
San Baban
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
12400 Old Halls Ferry Rd, Black Jack, MO, 63033-4202
Phone Number
314-741-8688
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12400 Old Halls Ferry Rd
City
Black Jack
State
Missouri
Zip
63033-4202
Phone Number
314-741-8688
Fax Number
person
Provider Business Mailing Address Details
Address
12400 Old Halls Ferry Rd
City
Black Jack
State
Missouri
Zip
63033-4202
Phone Number
314-741-8688
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2017031679 (Missouri)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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