Faulkner, Douglas B - (Pharmacist)
Bethany, MO 64424
License# : 041089 - Issued on : 10/25/1982
Doing Business As :
| Licensee Name: | Faulkner, Douglas B |
| Profession Name: | Pharmacist |
| Licensee Number: | 041089 |
| Expiration Date: | 10/31/2016 |
| Original Issue Date: | 10/25/1982 |
| Address: | |
| Address Con't: | |
| City, State Zip: | Bethany, MO 64424 |
| County: | Harrison |
| Practitioner DBA Name: | |
| Classification: |
| Current Discipline Status: | None |
| Certification Type: | Effective Date: | Expiration Date: |
| NOI - Administration By Protocol | 12/22/2014 | 12/21/2015 |
| NOI - Administration By Medical Prescription Order | 12/22/2014 | 12/21/2015 |
Board of Pharmacy
3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO 65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists
