Amerisource Bergen - (Pharmacy)
Wendy Blackston, PIC
Linthicum Heights, MO 21090
License# : 2007005612 - Issued on : 2/26/2007
Doing Business As : IgG America
| Licensee Name: | Amerisource Bergen |
| Profession Name: | Pharmacy |
| Licensee Number: | 2007005612 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 2/26/2007 |
| Address: | Wendy Blackston, PIC |
| Address Con't: | 514 Progress Drive, Suite X-Z |
| City, State Zip: | Linthicum Heights, MD 21090 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | IgG America |
| Classification: | Class H, M |
| 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
