Excellium Pharmaceutical, Inc. - (Drug Distributor Registrant)
3-G Oak Rd
Fairfield, MO 07004
License# : 2001029163 - Issued on : 11/5/2001
Doing Business As : Excellium Pharmaceutical, Inc.
| Licensee Name: | Excellium Pharmaceutical, Inc. |
| Profession Name: | Drug Distributor Registrant |
| Licensee Number: | 2001029163 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 11/5/2001 |
| Address: | 3-G Oak Rd |
| Address Con't: | |
| City, State Zip: | Fairfield, NJ 07004 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Excellium Pharmaceutical, Inc. |
| 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
