Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SVCS, INC. 

License Number 

99-942 

Type of Pharmacy

Non-Resident 

Address

3171 RIVERPORT TECH CENTER DR #3183

City, State, Zip 

MARYLAND HEIGHTS, MO  63043-4825

Country 

 

Issue Date 

01/20/2005 

Renewed Date

12/21/2009

Expiration Date 

01/31/2011 

End Date 

11/18/2010 

Replacing

Replaced By

99-5583

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JOHN S. DAVAULT - 0

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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