Individual
KASINADH JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.PHARM
Contact information
Practice address
1179 32ND ST, KMART PHARMACY, PORT HURON, MI 48060-7363
(810) 989-7610
(810) 982-8400
Mailing address
1179 32ND ST, KMART PHARMACY, PORT HURON, MI 48060-7363
(810) 989-7610
(810) 982-8400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034444
MI
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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