Actavis Pharma, Inc. - (Drug Distributor)
Miguel Gomez, MIC
Corona, MO 92880
License# : 901188 - Issued on : 4/7/1999
Doing Business As : Actavis Pharma Inc
| Licensee Name: | Actavis Pharma, Inc. |
| Profession Name: | Drug Distributor |
| Licensee Number: | 901188 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 4/7/1999 |
| Address: | Miguel Gomez, MIC |
| Address Con't: | 2455 Wardlow Road |
| City, State Zip: | Corona, CA 92880 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Actavis Pharma Inc |
| Classification: | Out of State Wholesale |
| 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
