AmeriPharm Inc - (Pharmacy)
Christine M Burg, PIC
Sioux Falls, MO 57104
License# : 2009038920 - Issued on : 11/3/2009
Doing Business As : MedVantx Pharmacy Services
| Licensee Name: | AmeriPharm Inc |
| Profession Name: | Pharmacy |
| Licensee Number: | 2009038920 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 11/3/2009 |
| Address: | Christine M Burg, PIC |
| Address Con't: | 2503 E 54th St N |
| City, State Zip: | Sioux Falls, SD 57104 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | MedVantx Pharmacy Services |
| 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
