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Ag ProVision LLC - Drug Distributor

Ag ProVision LLC - (Drug Distributor)

Michael Lee Brown, MIC
Nevada, MO 64772
License# : 2012034938 - Issued on : 10/4/2012
Doing Business As : Ag ProVision LLC
Licensee Name:Ag ProVision LLC 
Profession Name:Drug Distributor 
Licensee Number:2012034938  
Expiration Date:10/31/2015 
Original Issue Date:10/4/2012 
Address:Michael Lee Brown, MIC 
Address Con't:3803 Enterprise Dr, Suite A 
City, State Zip:Nevada, MO 64772 
County:Vernon 
Practitioner DBA Name:Ag ProVision LLC 
Classification:Wholesale Drug Distributor 

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