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Individual

CALEB BANNISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
4500 FOREST PARK AVE, SAINT LOUIS, MO 63108-2114
(314) 657-9013
Mailing address
812 S THERESA AVE APT 521, SAINT LOUIS, MO 63103-2945

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022023807
MO

Other

Enumeration date
05/11/2023
Last updated
09/11/2025
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