Individual
MEGAN FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5713
(660) 216-3469
Mailing address
3101 RED BAY CREEK RD, COLUMBIA, MO 65203-9871
(660) 216-3469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-17127
KS
183500000X
Pharmacist
Primary
2013022790
MO
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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