Missouri Pharmacists: 09/21/15

Aeroflow Inc - Drug Distributor

Aeroflow Inc - (Drug Distributor)

Casey L. Hite, MIC

Asheville, MO 28803

License# : 2012007436 - Issued on : 3/1/2012

Doing Business As : Aeroflow Inc

Licensee Name:	Aeroflow Inc
Profession Name:	Drug Distributor
Licensee Number:	2012007436
Expiration Date:	10/31/2015
Original Issue Date:	3/1/2012
Address:	Casey L. Hite, MIC
Address Con't:	3165 Sweeten Creek Rd
City, State Zip:	Asheville, NC 28803
County:	Unknown/Out of State
Practitioner DBA Name:	Aeroflow 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

Affordable Home Health Care, Inc - Drug Distributor

Affordable Home Health Care, Inc - (Drug Distributor)

Nancy A. Spillman, MIC

Paragould, MO 72450

License# : 2002007878 - Issued on : 12/9/2002

Doing Business As : Affordable Medical Supplies & Uniforms

Licensee Name:	Affordable Home Health Care, Inc
Profession Name:	Drug Distributor
Licensee Number:	2002007878
Expiration Date:	10/31/2017
Original Issue Date:	12/9/2002
Address:	Nancy A. Spillman, MIC
Address Con't:	501 W. Kingshighway
City, State Zip:	Paragould, AR 72450
County:	Unknown/Out of State
Practitioner DBA Name:	Affordable Medical Supplies & Uniforms
Classification:	Out of State Wholesale

Current Discipline Status:

None

Affinity Biotech, Inc. - Pharmacy

Affinity Biotech, Inc. - (Pharmacy)

Jack E Smith, PIC

Kansas City, MO 66112

License# : 2013042965 - Issued on : 11/27/2013

Doing Business As : Affinity Biotech, Inc.

Licensee Name:	Affinity Biotech, Inc.
Profession Name:	Pharmacy
Licensee Number:	2013042965
Expiration Date:	10/31/2015
Original Issue Date:	11/27/2013
Address:	Jack E Smith, PIC
Address Con't:	8040 Parallel Pkwy Ste 122
City, State Zip:	Kansas City, KS 66112
County:	Unknown/Out of State
Practitioner DBA Name:	Affinity Biotech, Inc.
Classification:	Class A, M

Current Discipline Status:

None

Affinity Biotech, Inc - Pharmacy

Affinity Biotech, Inc - (Pharmacy)

Jodi Fabisiak, PIC

Omaha, MO 68022

License# : 2008014819 - Issued on : 5/30/2008

Doing Business As : Affinity Biotech

Licensee Name:	Affinity Biotech, Inc
Profession Name:	Pharmacy
Licensee Number:	2008014819
Expiration Date:	10/31/2015
Original Issue Date:	5/30/2008
Address:	Jodi Fabisiak, PIC
Address Con't:	1810 N. 203rd St
City, State Zip:	Omaha, NE 68022
County:	Unknown/Out of State
Practitioner DBA Name:	Affinity Biotech
Classification:	Class A, M

Current Discipline Status:

None

Affinia Healthcare - Pharmacy

Affinia Healthcare - (Pharmacy)

Kendra C. Holmes, PIC

Saint Louis, MO 63104

License# : 2006004264 - Issued on : 2/15/2006

Doing Business As : Affinia Healthcare Pharmacy

Licensee Name:	Affinia Healthcare
Profession Name:	Pharmacy
Licensee Number:	2006004264
Expiration Date:	10/31/2017
Original Issue Date:	2/15/2006
Address:	Kendra C. Holmes, PIC
Address Con't:	2220 Lemp St
City, State Zip:	Saint Louis, MO 63104
County:	St. Louis City
Practitioner DBA Name:	Affinia Healthcare Pharmacy
Classification:	Class A

Current Discipline Status:

None

Affinia Healthcare - Pharmacy

Affinia Healthcare - (Pharmacy)

Kendra C. Holmes, PIC

Saint Louis, MO 63106

License# : 2005037282 - Issued on : 11/16/2005

Doing Business As : Affinia Healthcare Pharmacy

Licensee Name:	Affinia Healthcare
Profession Name:	Pharmacy
Licensee Number:	2005037282
Expiration Date:	10/31/2017
Original Issue Date:	11/16/2005
Address:	Kendra C. Holmes, PIC
Address Con't:	1717 Biddle
City, State Zip:	Saint Louis, MO 63106
County:	St. Louis City
Practitioner DBA Name:	Affinia Healthcare Pharmacy
Classification:	Class A

Current Discipline Status:

None

Affholder, Mary J - Pharmacist

Affholder, Mary J - (Pharmacist)

Webster Groves, MO 63119

License# : 028322 - Issued on : 10/11/1972

Doing Business As :

Licensee Name:	Affholder, Mary J
Profession Name:	Pharmacist
Licensee Number:	028322
Expiration Date:	10/31/2016
Original Issue Date:	10/11/1972
Address:
Address Con't:
City, State Zip:	Webster Groves, MO 63119
County:	St. Louis County
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Aetna Speciality Pharmacy LLC - Pharmacy

Aetna Speciality Pharmacy LLC - (Pharmacy)

Nereida Padilla, PIC

Orlando, MO 32809

License# : 2005004458 - Issued on : 2/18/2005

Doing Business As : Aetna Speciality Pharmacy LLC

Licensee Name:	Aetna Speciality Pharmacy LLC
Profession Name:	Pharmacy
Licensee Number:	2005004458
Expiration Date:	10/31/2015
Original Issue Date:	2/18/2005
Address:	Nereida Padilla, PIC
Address Con't:	503 Sunport Lane
City, State Zip:	Orlando, FL 32809
County:	Unknown/Out of State
Practitioner DBA Name:	Aetna Speciality Pharmacy LLC
Classification:	Class A, M

Current Discipline Status:

None

Aetna Rx Home Delivery, LLC - Pharmacy

Aetna Rx Home Delivery, LLC - (Pharmacy)

Tokunbo N Kassim, PIC

Plantation, MO 33324

License# : 2005036729 - Issued on : 11/8/2005

Doing Business As : Aetna Rx Home Delivery

Licensee Name:	Aetna Rx Home Delivery, LLC
Profession Name:	Pharmacy
Licensee Number:	2005036729
Expiration Date:	10/31/2015
Original Issue Date:	11/8/2005
Address:	Tokunbo N Kassim, PIC
Address Con't:	1600 SW 80th Terrace, 2nd Floor
City, State Zip:	Plantation, FL 33324
County:	Unknown/Out of State
Practitioner DBA Name:	Aetna Rx Home Delivery
Classification:	Class A, J

Current Discipline Status:

None

Aetna Rx Home Delivery, LLC - Pharmacy

Aetna Rx Home Delivery, LLC - (Pharmacy)

Edward S. Alviso, Jr, PIC

Kansas City, MO 64153

License# : 2003001979 - Issued on : 1/28/2003

Doing Business As : Aetna Rx Home Delivery

Licensee Name:	Aetna Rx Home Delivery, LLC
Profession Name:	Pharmacy
Licensee Number:	2003001979
Expiration Date:	10/31/2015
Original Issue Date:	1/28/2003
Address:	Edward S. Alviso, Jr, PIC
Address Con't:	10991 North West Airworld Drive
City, State Zip:	Kansas City, MO 64153
County:	Platte
Practitioner DBA Name:	Aetna Rx Home Delivery
Classification:	Class A, J

Current Discipline Status:

None

Aesculap Inc - Drug Distributor

Aesculap Inc - (Drug Distributor)

Michael Pheney, MIC

Hazelwood, MO 63042

License# : 2013003152 - Issued on : 1/30/2013

Doing Business As : Aesculap Inc

Licensee Name:	Aesculap Inc
Profession Name:	Drug Distributor
Licensee Number:	2013003152
Expiration Date:	10/31/2015
Original Issue Date:	1/30/2013
Address:	Michael Pheney, MIC
Address Con't:	615 Lambert Pointe Dr
City, State Zip:	Hazelwood, MO 63042
County:	St. Louis County
Practitioner DBA Name:	Aesculap Inc
Classification:	Wholesale Drug Distributor

Current Discipline Status:

None

Aesculap Implant Systems LLC - Drug Distributor

Aesculap Implant Systems LLC - (Drug Distributor)

Michael Pheney, MIC

Hazelwood, MO 63042

License# : 2013003153 - Issued on : 1/30/2013

Doing Business As : Aesculap Implant Systems LLC

Licensee Name:	Aesculap Implant Systems LLC
Profession Name:	Drug Distributor
Licensee Number:	2013003153
Expiration Date:	10/31/2015
Original Issue Date:	1/30/2013
Address:	Michael Pheney, MIC
Address Con't:	615 Lambert Pointe Dr
City, State Zip:	Hazelwood, MO 63042
County:	St. Louis County
Practitioner DBA Name:	Aesculap Implant Systems LLC
Classification:	Wholesale Drug Distributor

Current Discipline Status:

None

AeroMed, Ltd. - Drug Distributor

AeroMed, Ltd. - (Drug Distributor)

Taylor Ryer, MIC

South Windsor, MO 06074

License# : 2015018669 - Issued on : 6/15/2015

Doing Business As : AeroMed, Ltd.

Licensee Name:	AeroMed, Ltd.
Profession Name:	Drug Distributor
Licensee Number:	2015018669
Expiration Date:	10/31/2015
Original Issue Date:	6/15/2015
Address:	Taylor Ryer, MIC
Address Con't:	571 Nutmeg Road North
City, State Zip:	South Windsor, CT 06074
County:	Unknown/Out of State
Practitioner DBA Name:	AeroMed, Ltd.
Classification:	Out of State Wholesale

Current Discipline Status:

None

Aero-Med Ltd - Drug Distributor

Aero-Med Ltd - (Drug Distributor)

Richard Arthur Kask, MIC

Dallas, MO 75247

License# : 2015007095 - Issued on : 3/4/2015

Doing Business As : Aero-Med Ltd

Licensee Name:	Aero-Med Ltd
Profession Name:	Drug Distributor
Licensee Number:	2015007095
Expiration Date:	10/31/2015
Original Issue Date:	3/4/2015
Address:	Richard Arthur Kask, MIC
Address Con't:	4747 Leston Ave Ste 803
City, State Zip:	Dallas, TX 75247
County:	Unknown/Out of State
Practitioner DBA Name:	Aero-Med Ltd
Classification:	Out of State Wholesale

Current Discipline Status:

None

Advantage Pharmacy, LLC - Pharmacy

Advantage Pharmacy, LLC - (Pharmacy)

Jason May, PIC

Hattiesburg, MO 39402

License# : 2013005750 - Issued on : 2/22/2013

Doing Business As : Advantage Pharmacy LLC

Licensee Name:	Advantage Pharmacy, LLC
Profession Name:	Pharmacy
Licensee Number:	2013005750
Expiration Date:	10/31/2017
Original Issue Date:	2/22/2013
Address:	Jason May, PIC
Address Con't:	6375 US Hwy 98 W, Suite 50
City, State Zip:	Hattiesburg, MS 39402
County:	Unknown/Out of State
Practitioner DBA Name:	Advantage Pharmacy LLC
Classification:	Class D

Current Discipline Status:

Action Taken:	Probation
Start Date:	2/22/2013
End Date:	5/17/2014
Terms:	Restricted pharmacy permit issued on Probation until May 17, 2014. Disciplinary action in another state involving record keeping of controlled substances. The records disclosed a controlled substance shortage of 165,000 tablets of hydrocodone and more than 21,000 doses of alprazolam. Section 338.055.2(8), RSMo.

Advantage Medical Infusion LLC - Pharmacy

Advantage Medical Infusion LLC - (Pharmacy)

William Christopher Pierce, PIC

Hattiesburg, MO 39402

License# : 2014022862 - Issued on : 7/7/2014

Doing Business As : AMI Rx

Licensee Name:	Advantage Medical Infusion LLC
Profession Name:	Pharmacy
Licensee Number:	2014022862
Expiration Date:	10/31/2017
Original Issue Date:	7/7/2014
Address:	William Christopher Pierce, PIC
Address Con't:	5296 Old Hwy 11 Ste 4
City, State Zip:	Hattiesburg, MS 39402
County:	Unknown/Out of State
Practitioner DBA Name:	AMI Rx
Classification:	Class D

Current Discipline Status:

None

Advanced Pharmacy LLC - Pharmacy

Advanced Pharmacy LLC - (Pharmacy)

Heather Alford, PIC

Greenville, MO 29615

License# : 2011025608 - Issued on : 8/3/2011

Doing Business As : Advanced Pharmacy LLC

Licensee Name:	Advanced Pharmacy LLC
Profession Name:	Pharmacy
Licensee Number:	2011025608
Expiration Date:	10/31/2017
Original Issue Date:	8/3/2011
Address:	Heather Alford, PIC
Address Con't:	350-D Feaster Rd
City, State Zip:	Greenville, SC 29615
County:	Unknown/Out of State
Practitioner DBA Name:	Advanced Pharmacy LLC
Classification:	Class A

Current Discipline Status:

None

Advanced Medical Equipment Inc - Drug Distributor

Advanced Medical Equipment Inc - (Drug Distributor)

Karen S Buckman, MIC

Macon, MO 63552

License# : 2006029431 - Issued on : 9/20/2006

Doing Business As : Advanced Medical Equipment Inc

Licensee Name:	Advanced Medical Equipment Inc
Profession Name:	Drug Distributor
Licensee Number:	2006029431
Expiration Date:	10/31/2017
Original Issue Date:	9/20/2006
Address:	Karen S Buckman, MIC
Address Con't:	1119 S Missouri Ste D
City, State Zip:	Macon, MO 63552
County:	Macon
Practitioner DBA Name:	Advanced Medical Equipment Inc
Classification:	Wholesale Drug Distributor

Current Discipline Status:

None

Advanced Care Scripts, Inc. - Pharmacy

Advanced Care Scripts, Inc. - (Pharmacy)

Jeffery Scott, PIC

Orlando, MO 32809

License# : 2008004241 - Issued on : 2/6/2008

Doing Business As : ACS Pharmacy

Licensee Name:	Advanced Care Scripts, Inc.
Profession Name:	Pharmacy
Licensee Number:	2008004241
Expiration Date:	10/31/2015
Original Issue Date:	2/6/2008
Address:	Jeffery Scott, PIC
Address Con't:	6251 Chancellor Dr Ste 101
City, State Zip:	Orlando, FL 32809
County:	Unknown/Out of State
Practitioner DBA Name:	ACS Pharmacy
Classification:	Class A, M

Current Discipline Status:

None

Advance Trailer Systems, Inc - Drug Distributor

Advance Trailer Systems, Inc - (Drug Distributor)

Bryant Washington, MIC

Henrico, MO 23231

License# : 2010032752 - Issued on : 9/14/2010

Doing Business As : Riverside Logistics Services

Licensee Name:	Advance Trailer Systems, Inc
Profession Name:	Drug Distributor
Licensee Number:	2010032752
Expiration Date:	10/31/2017
Original Issue Date:	9/14/2010
Address:	Bryant Washington, MIC
Address Con't:	5666 Eastport Blvd
City, State Zip:	Henrico, VA 23231
County:	Unknown/Out of State
Practitioner DBA Name:	Riverside Logistics Services
Classification:	Out of State Wholesale

Current Discipline Status:

None

Aduddell, David E - Pharmacist

Aduddell, David E - (Pharmacist)

Lawrence, MO 660473035

License# : 040493 - Issued on : 8/7/1980

Doing Business As :

Licensee Name:	Aduddell, David E
Profession Name:	Pharmacist
Licensee Number:	040493
Expiration Date:	10/31/2016
Original Issue Date:	8/7/1980
Address:
Address Con't:
City, State Zip:	Lawrence, KS 660473035
County:	Unknown/Out of State
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Adrovic, Nino - Pharmacy Technician

Adrovic, Nino - (Pharmacy Technician)

Saint Louis, MO 63128

License# : 2013040228 - Issued on : 10/31/2013

Doing Business As :

Licensee Name:	Adrovic, Nino
Profession Name:	Pharmacy Technician
Licensee Number:	2013040228
Expiration Date:	5/31/2016
Original Issue Date:	10/31/2013
Address:
Address Con't:
City, State Zip:	Saint Louis, MO 63128
County:	St. Louis County
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Adrian Kreisler Drug - Pharmacy

Adrian Kreisler Drug - (Pharmacy)

James G. Naber, PIC

Adrian, MO 64720

License# : 005977 - Issued on : 6/5/1996

Doing Business As : Adrian Kreisler Drug

Licensee Name:	Adrian Kreisler Drug
Profession Name:	Pharmacy
Licensee Number:	005977
Expiration Date:	10/31/2017
Original Issue Date:	6/5/1996
Address:	James G. Naber, PIC
Address Con't:	21 E. Main, PO Box 490
City, State Zip:	Adrian, MO 64720
County:	Bates
Practitioner DBA Name:	Adrian Kreisler Drug
Classification:	Class A, C

Current Discipline Status:

None

Adow, Ahmed Ali - Pharmacy Intern

Adow, Ahmed Ali - (Pharmacy Intern)

Kansas City, MO 64116

License# : 2015009379 - Issued on : 3/25/2015

Doing Business As :

Licensee Name:	Adow, Ahmed Ali
Profession Name:	Pharmacy Intern
Licensee Number:	2015009379
Expiration Date:	12/31/2016
Original Issue Date:	3/25/2015
Address:
Address Con't:
City, State Zip:	Kansas City, MO 64116
County:	Clay
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Adolphs, Robin Kay - Pharmacy Technician

Adolphs, Robin Kay - (Pharmacy Technician)

Marshall, MO 65340

License# : 2001016972 - Issued on : 7/18/2001

Doing Business As :

Licensee Name:	Adolphs, Robin Kay
Profession Name:	Pharmacy Technician
Licensee Number:	2001016972
Expiration Date:	5/31/2016
Original Issue Date:	7/18/2001
Address:
Address Con't:
City, State Zip:	Marshall, MO 65340
County:	Saline
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Adloo, Mehrdad A - Pharmacist

Adloo, Mehrdad A - (Pharmacist)

Alpharetta, MO 30005

License# : 1999141741 - Issued on : 12/21/1999

Doing Business As :

Licensee Name:	Adloo, Mehrdad A
Profession Name:	Pharmacist
Licensee Number:	1999141741
Expiration Date:	10/31/2016
Original Issue Date:	12/21/1999
Address:
Address Con't:
City, State Zip:	Alpharetta, GA 30005
County:	Unknown/Out of State
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Adlich, Dominick Jordan - Pharmacy Technician

Adlich, Dominick Jordan - (Pharmacy Technician)

Lexington, MO 64067

License# : 2015009038 - Issued on : 3/24/2015

Doing Business As :

Licensee Name:	Adlich, Dominick Jordan
Profession Name:	Pharmacy Technician
Licensee Number:	2015009038
Expiration Date:	5/31/2016
Original Issue Date:	3/24/2015
Address:
Address Con't:
City, State Zip:	Lexington, MO 64067
County:	Lafayette
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Adler, Derek J - Pharmacy Technician

Adler, Derek J - (Pharmacy Technician)

Independence, MO 64057

License# : 2014043568 - Issued on : 12/19/2014

Doing Business As :

Licensee Name:	Adler, Derek J
Profession Name:	Pharmacy Technician
Licensee Number:	2014043568
Expiration Date:	5/31/2016
Original Issue Date:	12/19/2014
Address:
Address Con't:
City, State Zip:	Independence, MO 64057
County:	Jackson
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Adler, Anne - Pharmacy Intern

Adler, Anne - (Pharmacy Intern)

Streator, MO 61364

License# : 2011012811 - Issued on : 5/10/2011

Doing Business As :

Licensee Name:	Adler, Anne
Profession Name:	Pharmacy Intern
Licensee Number:	2011012811
Expiration Date:	12/31/2016
Original Issue Date:	5/10/2011
Address:
Address Con't:
City, State Zip:	Streator, IL 61364
County:	Unknown/Out of State
Practitioner DBA Name:
Classification:

Current Discipline Status:

None