Individual
DR. KEITH ANDREW GAETANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1701 NW STATE ROUTE 7, BLUE SPRINGS, MO 64014-1913
(816) 220-3620
Mailing address
1701 NW STATE ROUTE 7, BLUE SPRINGS, MO 64014-1913
(816) 220-3620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.292653
IL
183500000X
Pharmacist
1-14942
KS
183500000X
Pharmacist
Primary
2010042622
MO
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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