Missouri Pharmacists: 11/23/15

Fang, Florence Kahdoh - Pharmacist

Fang, Florence Kahdoh - (Pharmacist)

Overland Park, MO 66210

License# : 2007035708 - Issued on : 11/26/2007

Doing Business As :

Licensee Name:	Fang, Florence Kahdoh
Profession Name:	Pharmacist
Licensee Number:	2007035708
Expiration Date:	10/31/2016
Original Issue Date:	11/26/2007
Address:
Address Con't:
City, State Zip:	Overland Park, KS 66210
County:	Unknown/Out of State
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

Fanderclai, Keith - Pharmacist

Fanderclai, Keith - (Pharmacist)

Saint Louis, MO 63131

License# : 1999140906 - Issued on : 12/10/1999

Doing Business As :

Licensee Name:	Fanderclai, Keith
Profession Name:	Pharmacist
Licensee Number:	1999140906
Expiration Date:	10/31/2016
Original Issue Date:	12/10/1999
Address:
Address Con't:
City, State Zip:	Saint Louis, MO 63131
County:	St. Louis County
Practitioner DBA Name:
Classification:	Medication Therapy Services

Current Discipline Status:

None

Fancher, James D - Pharmacy Technician

Fancher, James D - (Pharmacy Technician)

Bridgeton, MO 63044

License# : 2013013622 - Issued on : 5/7/2013

Doing Business As :

Licensee Name:	Fancher, James D
Profession Name:	Pharmacy Technician
Licensee Number:	2013013622
Expiration Date:	5/31/2016
Original Issue Date:	5/7/2013
Address:
Address Con't:
City, State Zip:	Bridgeton, MO 63044
County:	St. Louis County
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Fancher, Alyssa K - Pharmacy Intern

Fancher, Alyssa K - (Pharmacy Intern)

Columbia, MO 65203

License# : 2015031888 - Issued on : 9/4/2015

Doing Business As :

Licensee Name:	Fancher, Alyssa K
Profession Name:	Pharmacy Intern
Licensee Number:	2015031888
Expiration Date:	12/31/2016
Original Issue Date:	9/4/2015
Address:
Address Con't:
City, State Zip:	Columbia, MO 65203
County:	Boone
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Fancher, Alyssa K - Pharmacy Technician

Fancher, Alyssa K - (Pharmacy Technician)

Columbia, MO 65203

License# : 2014024257 - Issued on : 7/15/2014

Doing Business As :

Licensee Name:	Fancher, Alyssa K
Profession Name:	Pharmacy Technician
Licensee Number:	2014024257
Expiration Date:	5/31/2016
Original Issue Date:	7/15/2014
Address:
Address Con't:
City, State Zip:	Columbia, MO 65203
County:	Boone
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Fanatia, Jacqueline S - Pharmacy Technician

Fanatia, Jacqueline S - (Pharmacy Technician)

Springfield, MO 65802

License# : 2015014816 - Issued on : 5/15/2015

Doing Business As :

Licensee Name:	Fanatia, Jacqueline S
Profession Name:	Pharmacy Technician
Licensee Number:	2015014816
Expiration Date:	5/31/2016
Original Issue Date:	5/15/2015
Address:
Address Con't:
City, State Zip:	Springfield, MO 65802
County:	Greene
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Fanara, Dominic P - Pharmacy Technician

Fanara, Dominic P - (Pharmacy Technician)

O Fallon, MO 63368

License# : 2013028318 - Issued on : 7/31/2013

Doing Business As :

Licensee Name:	Fanara, Dominic P
Profession Name:	Pharmacy Technician
Licensee Number:	2013028318
Expiration Date:	5/31/2016
Original Issue Date:	7/31/2013
Address:
Address Con't:
City, State Zip:	O Fallon, MO 63368
County:	St. Charles
Practitioner DBA Name:
Classification:

Current Discipline Status:

None

Family Pharmacy, Inc. - Pharmacy

Family Pharmacy, Inc. - (Pharmacy)

Joni Forbus, PIC

Joplin, MO 64804

License# : 2005017363 - Issued on : 6/8/2005

Doing Business As : Family Pharmacy

Licensee Name:	Family Pharmacy, Inc.
Profession Name:	Pharmacy
Licensee Number:	2005017363
Expiration Date:	10/31/2015
Original Issue Date:	6/8/2005
Address:	Joni Forbus, PIC
Address Con't:	3202 Indiana Avenue
City, State Zip:	Joplin, MO 64804
County:	Newton
Practitioner DBA Name:	Family Pharmacy
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Strafford, Inc. - Pharmacy

Family Pharmacy of Strafford, Inc. - (Pharmacy)

Michael N Langston, PIC

Strafford, MO 65757

License# : 004894 - Issued on : 8/31/1988

Doing Business As : Family Pharmacy

Licensee Name:	Family Pharmacy of Strafford, Inc.
Profession Name:	Pharmacy
Licensee Number:	004894
Expiration Date:	10/31/2015
Original Issue Date:	8/31/1988
Address:	Michael N Langston, PIC
Address Con't:	106 E. Pine St., PO Box 5
City, State Zip:	Strafford, MO 65757
County:	Greene
Practitioner DBA Name:	Family Pharmacy
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Mountain Grove LLC - Pharmacy

Family Pharmacy of Mountain Grove LLC - (Pharmacy)

Christine Coffman, PIC

Mountain Grove, MO 65711

License# : 2001003655 - Issued on : 2/14/2001

Doing Business As : Family Pharmacy

Licensee Name:	Family Pharmacy of Mountain Grove LLC
Profession Name:	Pharmacy
Licensee Number:	2001003655
Expiration Date:	10/31/2015
Original Issue Date:	2/14/2001
Address:	Christine Coffman, PIC
Address Con't:	1600 N. Main
City, State Zip:	Mountain Grove, MO 65711
County:	Wright
Practitioner DBA Name:	Family Pharmacy
Classification:	Class A, C

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

Jay M Givens, PIC

Branson, MO 65616

License# : 2011029958 - Issued on : 9/7/2011

Doing Business As : Family Pharmacy #28

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2011029958
Expiration Date:	10/31/2015
Original Issue Date:	9/7/2011
Address:	Jay M Givens, PIC
Address Con't:	1494 State Hwy 248 Ste D
City, State Zip:	Branson, MO 65616
County:	Taney
Practitioner DBA Name:	Family Pharmacy #28
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

David M Stevens, PIC

Clever, MO 65631

License# : 2011001788 - Issued on : 1/20/2011

Doing Business As : Family Pharmacy #27

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2011001788
Expiration Date:	10/31/2015
Original Issue Date:	1/20/2011
Address:	David M Stevens, PIC
Address Con't:	6809 State Hwy 14 Ste A P O Box 68
City, State Zip:	Clever, MO 65631
County:	Christian
Practitioner DBA Name:	Family Pharmacy #27
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

William Hudson, PIC

Branson, MO 65616

License# : 2010041300 - Issued on : 12/10/2010

Doing Business As : Family Pharmacy #26

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2010041300
Expiration Date:	10/31/2015
Original Issue Date:	12/10/2010
Address:	William Hudson, PIC
Address Con't:	225 Cross Creek Blvd Ste A
City, State Zip:	Branson, MO 65616
County:	Taney
Practitioner DBA Name:	Family Pharmacy #26
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

Courtney Marie Mann, PIC

Rogersville, MO 65742

License# : 2007028926 - Issued on : 9/14/2007

Doing Business As : Family Pharmacy #5

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2007028926
Expiration Date:	10/31/2015
Original Issue Date:	9/14/2007
Address:	Courtney Marie Mann, PIC
Address Con't:	432 S Mill St, PO Box 515
City, State Zip:	Rogersville, MO 65742
County:	Webster
Practitioner DBA Name:	Family Pharmacy #5
Classification:	Class A, C, J

Current Discipline Status:

Probation

Action Taken:	Probation
Start Date:	4/17/2015
End Date:	4/16/2018
Terms:	Probation for three (3) years. Pharmacists verified and dispensed prescriptions under the name of a doctor not lawfully authorized by the doctor; employees obtained non-controlled medications by creating prescriptions under the name of a doctor without the doctor's authorization or without being physically examined by the doctor; misbranding; and recordkeeping violations. Section 338.055.2(5), (6), (13), and (15), RSMo.

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

Patrick Blinzler, PIC

Marshfield, MO 65706

License# : 2007028925 - Issued on : 9/14/2007

Doing Business As : Family Pharmacy #19

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2007028925
Expiration Date:	10/31/2015
Original Issue Date:	9/14/2007
Address:	Patrick Blinzler, PIC
Address Con't:	759 W Washington
City, State Zip:	Marshfield, MO 65706
County:	Webster
Practitioner DBA Name:	Family Pharmacy #19
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

Mike F Maloney, PIC

Nixa, MO 65714

License# : 2007028924 - Issued on : 9/14/2007

Doing Business As : Family Pharmacy #14

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2007028924
Expiration Date:	10/31/2015
Original Issue Date:	9/14/2007
Address:	Mike F Maloney, PIC
Address Con't:	105 Ridgecrest Ste 1&2 POBox 1440
City, State Zip:	Nixa, MO 65714
County:	Christian
Practitioner DBA Name:	Family Pharmacy #14
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

Aaron Lee Blevins, PIC

Forsyth, MO 65653

License# : 2007028923 - Issued on : 9/14/2007

Doing Business As : Family Pharmacy #12

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2007028923
Expiration Date:	10/31/2015
Original Issue Date:	9/14/2007
Address:	Aaron Lee Blevins, PIC
Address Con't:	14974 State Hwy 160, PO Box 1175
City, State Zip:	Forsyth, MO 65653
County:	Taney
Practitioner DBA Name:	Family Pharmacy #12
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

Bryan Williams, PIC

Hollister, MO 65672

License# : 2007028922 - Issued on : 9/14/2007

Doing Business As : Family Pharmacy #7

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2007028922
Expiration Date:	10/31/2015
Original Issue Date:	9/14/2007
Address:	Bryan Williams, PIC
Address Con't:	180 Mall Rd Ste A&B PO Box 507
City, State Zip:	Hollister, MO 65672
County:	Taney
Practitioner DBA Name:	Family Pharmacy #7
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

Steven Lindwedel, PIC

Branson West, MO 65737

License# : 2007028921 - Issued on : 9/14/2007

Doing Business As : Family Pharmacy #4

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2007028921
Expiration Date:	10/31/2015
Original Issue Date:	9/14/2007
Address:	Steven Lindwedel, PIC
Address Con't:	18192 Business 13, Ste A
City, State Zip:	Branson West, MO 65737
County:	Stone
Practitioner DBA Name:	Family Pharmacy #4
Classification:	Class A, C, J

Current Discipline Status:

None

Family Pharmacy of Missouri LLC - Pharmacy

Family Pharmacy of Missouri LLC - (Pharmacy)

Kristi Van Etten, PIC

Bolivar, MO 65613

License# : 2006014908 - Issued on : 5/31/2006

Doing Business As : Family Pharmacy #20

Licensee Name:	Family Pharmacy of Missouri LLC
Profession Name:	Pharmacy
Licensee Number:	2006014908
Expiration Date:	10/31/2015
Original Issue Date:	5/31/2006
Address:	Kristi Van Etten, PIC
Address Con't:	1326 W. Broadway
City, State Zip:	Bolivar, MO 65613
County:	Polk
Practitioner DBA Name:	Family Pharmacy #20
Classification:	Class A, C, J

Current Discipline Status:

None