Individual
DR. KENNETH GANDAHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3881 MEXICO RD, SAINT CHARLES, MO 63303-3042
(636) 922-3064
Mailing address
709 PALACE CT, FERGUSON, MO 63135-1748
(314) 445-8090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018037591
MO
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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