American Specialty Pharmacy Inc - (Pharmacy)
Manohar Miryala, PIC
San Antonio, MO 78229
License# : 2014023631 - Issued on : 7/10/2014
Doing Business As : American Specialty Pharmacy
| Licensee Name: | American Specialty Pharmacy Inc |
| Profession Name: | Pharmacy |
| Licensee Number: | 2014023631 |
| Expiration Date: | 10/31/2017 |
| Original Issue Date: | 7/10/2014 |
| Address: | Manohar Miryala, PIC |
| Address Con't: | 2414 Babcock Rd Ste 111 |
| City, State Zip: | San Antonio, TX 78229 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | American Specialty Pharmacy |
| Classification: | Class A, 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
