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Individual

DR. KENNETH JOHN BAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2933 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1008
(314) 773-2767
(314) 773-4917
Mailing address
3923 MCREE AVE, SAINT LOUIS, MO 63110-2628
(636) 399-1652

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009011779
MO

Other

Enumeration date
10/18/2011
Last updated
10/18/2011
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