ESI Mail Pharmacy Service Inc - (Pharmacy)
Kristine Breitenbach, PIC
Trevose, MO 19053
License# : 2004000238 - Issued on : 1/6/2004
Doing Business As : ESI Mail Pharmacy Service, Inc.
| Licensee Name: | ESI Mail Pharmacy Service Inc |
| Profession Name: | Pharmacy |
| Licensee Number: | 2004000238 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 1/6/2004 |
| Address: | Kristine Breitenbach, PIC |
| Address Con't: | 4800 Street Road |
| City, State Zip: | Trevose, PA 19053 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | ESI Mail Pharmacy Service, Inc. |
| Classification: | Class J |
| 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
