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Ag ProVision LLC - Drug Distributor

Ag ProVision LLC - (Drug Distributor)

Miles Edwin Stocker, MIC
Kenansville, MO 28349
License# : 2012010650 - Issued on : 4/3/2012
Doing Business As : Ag ProVision LLC
Licensee Name:Ag ProVision LLC 
Profession Name:Drug Distributor 
Licensee Number:2012010650  
Expiration Date:10/31/2017 
Original Issue Date:4/3/2012 
Address:Miles Edwin Stocker, MIC 
Address Con't:227 Faison McGowan Rd 
City, State Zip:Kenansville, NC 28349 
County:Unknown/Out of State 
Practitioner DBA Name:Ag ProVision LLC 
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