Individual
MRS. TRICIA AST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
10303 METCALF AVE, OVERLAND PARK, KS 66212-1805
(913) 642-3759
Mailing address
11452 S NORTHWOOD CIR, OLATHE, KS 66061-6500
(712) 540-5164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14876
KS
183500000X
Pharmacist
21219
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14876
PHARMACIST LICENSE NUMBER
KS
01
—
21219
PHARMACIST LICENSE NUMBER
IA
Enumeration date
05/02/2018
Last updated
05/02/2018
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