Missouri Pharmacists: 11/19/15

Ewing, Jamie M - Pharmacy Technician

Ewing, Jamie M - (Pharmacy Technician)

Independence, MO 64056

License# : 2015000396 - Issued on : 1/7/2015

Doing Business As :

Licensee Name:	Ewing, Jamie M
Profession Name:	Pharmacy Technician
Licensee Number:	2015000396
Expiration Date:	5/31/2016
Original Issue Date:	1/7/2015
Address:
Address Con't:
City, State Zip:	Independence, MO 64056
County:	Jackson
Practitioner DBA Name:
Classification:

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

Express Scripts Pharmacy, Inc - Pharmacy

Express Scripts Pharmacy, Inc - (Pharmacy)

Rhonda Yates, PIC

Whitestown, MO 46075

License# : 2014001047 - Issued on : 1/13/2014

Doing Business As : Express Scripts

Licensee Name:	Express Scripts Pharmacy, Inc
Profession Name:	Pharmacy
Licensee Number:	2014001047
Expiration Date:	10/31/2017
Original Issue Date:	1/13/2014
Address:	Rhonda Yates, PIC
Address Con't:	4750 E 450 South
City, State Zip:	Whitestown, IN 46075
County:	Unknown/Out of State
Practitioner DBA Name:	Express Scripts
Classification:	Class A, J

Current Discipline Status:

None

Express Scripts Pharmacy, Inc - Pharmacy

Express Scripts Pharmacy, Inc - (Pharmacy)

Lynda Doremus, PIC

Burlington, MO 08016

License# : 2014027634 - Issued on : 8/5/2014

Doing Business As : Express Scripts

Licensee Name:	Express Scripts Pharmacy, Inc
Profession Name:	Pharmacy
Licensee Number:	2014027634
Expiration Date:	10/31/2017
Original Issue Date:	8/5/2014
Address:	Lynda Doremus, PIC
Address Con't:	2040 Route 130 North
City, State Zip:	Burlington, NJ 08016
County:	Unknown/Out of State
Practitioner DBA Name:	Express Scripts
Classification:	Class A, J

Current Discipline Status:

None

Express Scripts Pharmacy Inc - Pharmacy

Express Scripts Pharmacy Inc - (Pharmacy)

Slater Nash Jr, PIC

Dublin, MO 43017

License# : 2014037469 - Issued on : 10/21/2014

Doing Business As : Express Scripts

Licensee Name:	Express Scripts Pharmacy Inc
Profession Name:	Pharmacy
Licensee Number:	2014037469
Expiration Date:	10/31/2017
Original Issue Date:	10/21/2014
Address:	Slater Nash Jr, PIC
Address Con't:	5151 Blazer Pkwy Ste B
City, State Zip:	Dublin, OH 43017
County:	Unknown/Out of State
Practitioner DBA Name:	Express Scripts
Classification:	Class J

Current Discipline Status:

None

Express Scripts Pharmacy Inc - Pharmacy

Express Scripts Pharmacy Inc - (Pharmacy)

Thomas Edinger, PIC

North Huntingdon, MO 15642

License# : 2014003743 - Issued on : 2/6/2014

Doing Business As : Express Scripts

Licensee Name:	Express Scripts Pharmacy Inc
Profession Name:	Pharmacy
Licensee Number:	2014003743
Expiration Date:	10/31/2015
Original Issue Date:	2/6/2014
Address:	Thomas Edinger, PIC
Address Con't:	501 Ronda Court
City, State Zip:	North Huntingdon, PA 15642
County:	Unknown/Out of State
Practitioner DBA Name:	Express Scripts
Classification:	Class J

Current Discipline Status:

None

Express Scripts Pharmacy Inc - Pharmacy

Express Scripts Pharmacy Inc - (Pharmacy)

Jennifer L Backhus, PIC

Tampa, MO 33610

License# : 2014004518 - Issued on : 2/13/2014

Doing Business As : Express Scripts

Licensee Name:	Express Scripts Pharmacy Inc
Profession Name:	Pharmacy
Licensee Number:	2014004518
Expiration Date:	10/31/2017
Original Issue Date:	2/13/2014
Address:	Jennifer L Backhus, PIC
Address Con't:	5701 E Hillsborough Ave Ste 1300
City, State Zip:	Tampa, FL 33610
County:	Unknown/Out of State
Practitioner DBA Name:	Express Scripts
Classification:	Class J

Current Discipline Status:

None

Express Plus Pharmacy LLC - Pharmacy

Express Plus Pharmacy LLC - (Pharmacy)

Natalie Dreyer, PIC

Davie, MO 33024

License# : 2013005248 - Issued on : 2/19/2013

Doing Business As : Express Plus Pharmacy LLC

Licensee Name:	Express Plus Pharmacy LLC
Profession Name:	Pharmacy
Licensee Number:	2013005248
Expiration Date:	10/31/2015
Original Issue Date:	2/19/2013
Address:	Natalie Dreyer, PIC
Address Con't:	6692 Stirling Road
City, State Zip:	Davie, FL 33024
County:	Unknown/Out of State
Practitioner DBA Name:	Express Plus Pharmacy LLC
Classification:	Class A

Current Discipline Status:

None

EXP Pharmaceutical Services Corp. - Drug Distributor

EXP Pharmaceutical Services Corp. - (Drug Distributor)

Nadine Lisa You, MIC

Fremont, MO 94539

License# : 2015006498 - Issued on : 2/27/2015

Doing Business As : EXP Pharmaceutical Services Corp.

Licensee Name:	EXP Pharmaceutical Services Corp.
Profession Name:	Drug Distributor
Licensee Number:	2015006498
Expiration Date:	10/31/2017
Original Issue Date:	2/27/2015
Address:	Nadine Lisa You, MIC
Address Con't:	48021 Warm Springs Blvd
City, State Zip:	Fremont, CA 94539
County:	Unknown/Out of State
Practitioner DBA Name:	EXP Pharmaceutical Services Corp.
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exempla Saint Joseph Hospital Inc - Pharmacy

Exempla Saint Joseph Hospital Inc - (Pharmacy)

Christopher Wilson, PIC

Denver, MO 80218

License# : 2012008391 - Issued on : 3/9/2012

Doing Business As : CCC Pharmacy

Licensee Name:	Exempla Saint Joseph Hospital Inc
Profession Name:	Pharmacy
Licensee Number:	2012008391
Expiration Date:	10/31/2017
Original Issue Date:	3/9/2012
Address:	Christopher Wilson, PIC
Address Con't:	1825 Marion St
City, State Zip:	Denver, CO 80218
County:	Unknown/Out of State
Practitioner DBA Name:	CCC Pharmacy
Classification:	Class A, D, H

Current Discipline Status:

None

Exempla Good Samaritan Medical Center LLC - Pharmacy

Exempla Good Samaritan Medical Center LLC - (Pharmacy)

Kelly Carstens, PIC

Lafayette, MO 80026

License# : 2014001032 - Issued on : 1/13/2014

Doing Business As : Good Samaritan Medical Center

Licensee Name:	Exempla Good Samaritan Medical Center LLC
Profession Name:	Pharmacy
Licensee Number:	2014001032
Expiration Date:	10/31/2017
Original Issue Date:	1/13/2014
Address:	Kelly Carstens, PIC
Address Con't:	200 Exempla Cir
City, State Zip:	Lafayette, CO 80026
County:	Unknown/Out of State
Practitioner DBA Name:	Good Samaritan Medical Center
Classification:	Class A, B

Current Discipline Status:

None

Exely, Amy N - Pharmacy Technician

Exely, Amy N - (Pharmacy Technician)

Saint Louis, MO 63138

License# : 2014043744 - Issued on : 12/22/2014

Doing Business As :

Licensee Name:	Exely, Amy N
Profession Name:	Pharmacy Technician
Licensee Number:	2014043744
Expiration Date:	5/31/2016
Original Issue Date:	12/22/2014
Address:
Address Con't:
City, State Zip:	Saint Louis, MO 63138
County:	St. Louis County
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Exeltis USA Inc - Drug Distributor

Exeltis USA Inc - (Drug Distributor)

Tova Friede, MIC

West Orange, MO 07052

License# : 2008020792 - Issued on : 7/21/2008

Doing Business As : Exeltis USA Inc

Licensee Name:	Exeltis USA Inc
Profession Name:	Drug Distributor
Licensee Number:	2008020792
Expiration Date:	10/31/2015
Original Issue Date:	7/21/2008
Address:	Tova Friede, MIC
Address Con't:	29 Spring St
City, State Zip:	West Orange, NJ 07052
County:	Unknown/Out of State
Practitioner DBA Name:	Exeltis USA Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exela Pharma Sciences, LLC - Drug Distributor Registrant

Exela Pharma Sciences, LLC - (Drug Distributor Registrant)

1325 William White Place NE

Lenoir, MO 28645

License# : 2014042082 - Issued on : 12/4/2014

Doing Business As : Exela Pharma Sciences, LLC

Licensee Name:	Exela Pharma Sciences, LLC
Profession Name:	Drug Distributor Registrant
Licensee Number:	2014042082
Expiration Date:	10/31/2017
Original Issue Date:	12/4/2014
Address:	1325 William White Place NE
Address Con't:
City, State Zip:	Lenoir, NC 28645
County:	Unknown/Out of State
Practitioner DBA Name:	Exela Pharma Sciences, LLC
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel, Inc. - Drug Distributor

Exel, Inc. - (Drug Distributor)

Mark A O'Donnell, MIC

Lancaster, MO 17601

License# : 2001009433 - Issued on : 6/21/2001

Doing Business As : Exel, Inc.

Licensee Name:	Exel, Inc.
Profession Name:	Drug Distributor
Licensee Number:	2001009433
Expiration Date:	10/31/2015
Original Issue Date:	6/21/2001
Address:	Mark A O'Donnell, MIC
Address Con't:	1800 Cloister Dr.
City, State Zip:	Lancaster, PA 17601
County:	Unknown/Out of State
Practitioner DBA Name:	Exel, Inc.
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel, Inc - Drug Distributor

Exel, Inc - (Drug Distributor)

Christian Lares, MIC

Ontario, MO 91761

License# : 2011002416 - Issued on : 1/27/2011

Doing Business As : Exel, Inc

Licensee Name:	Exel, Inc
Profession Name:	Drug Distributor
Licensee Number:	2011002416
Expiration Date:	10/31/2015
Original Issue Date:	1/27/2011
Address:	Christian Lares, MIC
Address Con't:	5351 Jurupa St
City, State Zip:	Ontario, CA 91761
County:	Unknown/Out of State
Practitioner DBA Name:	Exel, Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc. - Drug Distributor

Exel Inc. - (Drug Distributor)

Wojtek Patynowski, MIC

Fontana, MO 92335

License# : 2007036763 - Issued on : 12/6/2007

Doing Business As : Exel Inc.

Licensee Name:	Exel Inc.
Profession Name:	Drug Distributor
Licensee Number:	2007036763
Expiration Date:	10/31/2015
Original Issue Date:	12/6/2007
Address:	Wojtek Patynowski, MIC
Address Con't:	9211 Kaiser Way
City, State Zip:	Fontana, CA 92335
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc.
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc. - Drug Distributor

Exel Inc. - (Drug Distributor)

Tim Campbell, MIC

Mechanicsburg, MO 17050

License# : 2007010881 - Issued on : 4/16/2007

Doing Business As : Exel Inc.

Licensee Name:	Exel Inc.
Profession Name:	Drug Distributor
Licensee Number:	2007010881
Expiration Date:	10/31/2015
Original Issue Date:	4/16/2007
Address:	Tim Campbell, MIC
Address Con't:	260 Salem Church Rd
City, State Zip:	Mechanicsburg, PA 17050
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc.
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Daniel Hutcheson, MIC

Saint Joseph, MO 64507

License# : 2014029487 - Issued on : 8/18/2014

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2014029487
Expiration Date:	10/31/2015
Original Issue Date:	8/18/2014
Address:	Daniel Hutcheson, MIC
Address Con't:	5920 Corporate Dr
City, State Zip:	Saint Joseph, MO 64507
County:	Buchanan
Practitioner DBA Name:	Exel Inc
Classification:	Wholesale Drug Distributor

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Thomas Clark, MIC

Mooresville, MO 46158

License# : 2011000193 - Issued on : 1/4/2011

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2011000193
Expiration Date:	10/31/2015
Original Issue Date:	1/4/2011
Address:	Thomas Clark, MIC
Address Con't:	9440 South State Rd 39
City, State Zip:	Mooresville, IN 46158
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Anthony Jacobs, MIC

Sparks, MO 89434

License# : 2011012473 - Issued on : 5/1/2011

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2011012473
Expiration Date:	10/31/2015
Original Issue Date:	5/1/2011
Address:	Anthony Jacobs, MIC
Address Con't:	1802 Brierley Way
City, State Zip:	Sparks, NV 89434
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Dorothy Malone, MIC

Olive Branch, MO 38654

License# : 2010007273 - Issued on : 3/3/2010

Doing Business As : Exel

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2010007273
Expiration Date:	10/31/2015
Original Issue Date:	3/3/2010
Address:	Dorothy Malone, MIC
Address Con't:	8631 Polk Ln
City, State Zip:	Olive Branch, MS 38654
County:	Unknown/Out of State
Practitioner DBA Name:	Exel
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Greg Predmore, MIC

Southaven, MO 38671

License# : 2011040757 - Issued on : 12/19/2011

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2011040757
Expiration Date:	10/31/2015
Original Issue Date:	12/19/2011
Address:	Greg Predmore, MIC
Address Con't:	228 Access Drive
City, State Zip:	Southaven, MS 38671
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Paul Nugent, MIC

Southaven, MO 38671

License# : 2012007048 - Issued on : 2/28/2012

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2012007048
Expiration Date:	10/31/2015
Original Issue Date:	2/28/2012
Address:	Paul Nugent, MIC
Address Con't:	8890 Commerce Drive
City, State Zip:	Southaven, MS 38671
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Greg Garno, MIC

Mechanicsburg, MO 17055

License# : 2012009662 - Issued on : 3/22/2012

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2012009662
Expiration Date:	10/31/2015
Original Issue Date:	3/22/2012
Address:	Greg Garno, MIC
Address Con't:	500 Independence Ave
City, State Zip:	Mechanicsburg, PA 17055
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Jim Kenyon, MIC

Vonore, MO 37885

License# : 2011029522 - Issued on : 7/1/2011

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2011029522
Expiration Date:	10/31/2015
Original Issue Date:	7/1/2011
Address:	Jim Kenyon, MIC
Address Con't:	98 Excellence Way
City, State Zip:	Vonore, TN 37885
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Andrea D Speicher, MIC

Mount Vernon, MO 47620

License# : 2011032625 - Issued on : 6/6/2011

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2011032625
Expiration Date:	10/31/2015
Original Issue Date:	6/6/2011
Address:	Andrea D Speicher, MIC
Address Con't:	6400 William Keck Bypass
City, State Zip:	Mount Vernon, IN 47620
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Joseph R. Hile, MIC

Mechanicsburg, MO 17050

License# : 2008012531 - Issued on : 5/9/2008

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2008012531
Expiration Date:	10/31/2015
Original Issue Date:	5/9/2008
Address:	Joseph R. Hile, MIC
Address Con't:	300 Salem Church Rd
City, State Zip:	Mechanicsburg, PA 17050
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Adrienne Lynn Felty, MIC

Mechanicsburg, MO 17050

License# : 2008011993 - Issued on : 5/1/2008

Doing Business As : Exel Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2008011993
Expiration Date:	10/31/2015
Original Issue Date:	5/1/2008
Address:	Adrienne Lynn Felty, MIC
Address Con't:	6345 Brackbill Blvd
City, State Zip:	Mechanicsburg, PA 17050
County:	Unknown/Out of State
Practitioner DBA Name:	Exel Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Exel Inc - Drug Distributor

Exel Inc - (Drug Distributor)

Jonathan Foster, MIC

Mechanicsburg, MO 17050

License# : 2001024596 - Issued on : 9/19/2001

Doing Business As : Exel, Inc

Licensee Name:	Exel Inc
Profession Name:	Drug Distributor
Licensee Number:	2001024596
Expiration Date:	10/31/2015
Original Issue Date:	9/19/2001
Address:	Jonathan Foster, MIC
Address Con't:	350 Salem Church Rd
City, State Zip:	Mechanicsburg, PA 17050
County:	Unknown/Out of State
Practitioner DBA Name:	Exel, Inc
Classification:	Out of State Wholesale

Current Discipline Status:

None

Executive Pharmacy LLC - Pharmacy

Executive Pharmacy LLC - (Pharmacy)

Leonard Arteaga, PIC

Fort Lauderdale, MO 33351

License# : 2015008300 - Issued on : 3/17/2015

Doing Business As : Executive Pharmacy LLC

Licensee Name:	Executive Pharmacy LLC
Profession Name:	Pharmacy
Licensee Number:	2015008300
Expiration Date:	10/31/2015
Original Issue Date:	3/17/2015
Address:	Leonard Arteaga, PIC
Address Con't:	4300 N University Dr Ste E-2
City, State Zip:	Fort Lauderdale, FL 33351
County:	Unknown/Out of State
Practitioner DBA Name:	Executive Pharmacy LLC
Classification:	Class A, D

Current Discipline Status:

None