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Dr. Micha Kimberly Bastian, Pharmacist

Pharmacist in Shawnee, KS. Individual provider (NPI-1).

NPI number1992228696
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1992228696
Entity type
Individual (NPI-1)
Name
Dr. Micha Kimberly Bastian
Credential
Pharmacist
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist1-100496KSYes

Practice location

6440 Nieman Rd
Shawnee, KS 66203

Phone 913-268-3610 · Fax 913-268-3341

Mailing address

6440 Nieman Rd
Shawnee, KS 66203-3326

Phone 913-268-3610 · Fax 913-268-3341

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