Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC. |
License Number |
99-6928 |
Type of Pharmacy |
Non-Resident |
Address |
4700 N HANLEY RD STE A |
City, State, Zip |
ST. LOUIS,
MO 63134 |
Country |
|
Issue Date |
10/15/2014 |
Renewed Date |
09/15/2023 |
Expiration Date |
10/31/2024 |
End Date |
12/01/2023 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
CAROLYN H. BAST - 16662 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|