Actavis Pharma, Inc - (Drug Distributor)
Richard T Lichtenberger Jr, MIC
Gurnee, MO 60031
License# : 2013014941 - Issued on : 5/21/2013
Doing Business As : Actavis Pharma Inc
| Licensee Name: | Actavis Pharma, Inc |
| Profession Name: | Drug Distributor |
| Licensee Number: | 2013014941 |
| Expiration Date: | 10/31/2017 |
| Original Issue Date: | 5/21/2013 |
| Address: | Richard T Lichtenberger Jr, MIC |
| Address Con't: | 705 Tri-State Parkway, Unit B |
| City, State Zip: | Gurnee, IL 60031 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Actavis Pharma 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
