Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAN BABAN, PHARM D
ActiveDR. SAN BABAN, PHARM D is a Pharmacist healthcare provider located in BLACK JACK, Missouri. NPI 1770194391 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BLACK JACK, MO
Registration Details
- NPI Number
- 1770194391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2020 (5.9839922666863 yrs)
- Last Updated
- Aug 17, 2020
- License
-
2017031679 (MO)
Practice Information
- Address
-
12400 OLD HALLS FERRY RDBLACK JACK, MO, 630334202Browse MO providers · Browse ZIP 63033
- Phone
- 3147418688
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BLACK JACK, MO
| Name | Credential | NPI |
|---|---|---|
| JEAN-MARC BOVEE | — | 1447862321 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.