American Custom Compounding Pharmacy LLC - (Pharmacy)
Olatokunboh Ogundipe, PIC
Dallas, MO 75229
License# : 2014014483 - Issued on : 5/15/2014
Doing Business As : American Custom Compounding Pharmacy LLC
| Licensee Name: | American Custom Compounding Pharmacy LLC |
| Profession Name: | Pharmacy |
| Licensee Number: | 2014014483 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 5/15/2014 |
| Address: | Olatokunboh Ogundipe, PIC |
| Address Con't: | 2607 Walnut Hill Lane, Ste 220 |
| City, State Zip: | Dallas, TX 75229 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | American Custom Compounding Pharmacy LLC |
| Classification: | Class D, H |
| 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
