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4th Street Pharmacy Inc - Pharmacy

4th Street Pharmacy Inc - (Pharmacy)

Joseph Grasela, PIC
San Diego, MO 92101
License# : 2012027967 - Issued on : 8/9/2012
Doing Business As : University Compounding Pharmacy
Licensee Name:4th Street Pharmacy Inc 
Profession Name:Pharmacy 
Licensee Number:2012027967  
Expiration Date:10/31/2017 
Original Issue Date:8/9/2012 
Address:Joseph Grasela, PIC 
Address Con't:1765 Fourth Avenue 
City, State Zip:San Diego, CA 92101 
County:Unknown/Out of State 
Practitioner DBA Name:University Compounding Pharmacy 
Classification:Class A 

Current Discipline Status:None

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