Individual
FAHAD SHABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2620 S BELT HWY, SAINT JOSEPH, MO 64503-1646
(816) 248-9299
(816) 232-0066
Mailing address
2620 S BELT HWY, SAINT JOSEPH, MO 64503-1646
(816) 233-2532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016042850
MO
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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