AmeriPharm Inc - (Pharmacy)
Heba Awadallah, PIC
Louisville, MO 40219
License# : 2014037460 - Issued on : 10/21/2014
Doing Business As : MedVantx Specialty Pharmacy
| Licensee Name: | AmeriPharm Inc |
| Profession Name: | Pharmacy |
| Licensee Number: | 2014037460 |
| Expiration Date: | 10/31/2017 |
| Original Issue Date: | 10/21/2014 |
| Address: | Heba Awadallah, PIC |
| Address Con't: | 1860 Outer Loop Ste 348 |
| City, State Zip: | Louisville, KY 40219 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | MedVantx Specialty Pharmacy |
| Classification: | Class A |
| 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
