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AmerisourceBergen Drug Corp - Drug Distributor

AmerisourceBergen Drug Corp - (Drug Distributor)

Tyson Moore, MIC
Bethlehem, MO 18017
License# : 2006013103 - Issued on : 5/10/2006
Doing Business As : AmerisourceBergen Drug Corp
Licensee Name:AmerisourceBergen Drug Corp 
Profession Name:Drug Distributor 
Licensee Number:2006013103  
Expiration Date:10/31/2015 
Original Issue Date:5/10/2006 
Address:Tyson Moore, MIC 
Address Con't:5100 Jaindi Blvd 
City, State Zip:Bethlehem, PA 18017 
County:Unknown/Out of State 
Practitioner DBA Name:AmerisourceBergen Drug Corp 
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