Animal Health International Inc - (Drug Distributor)
Jolene Goddard, MIC
Salina, MO 67401
License# : 2013019603 - Issued on : 6/18/2013
Doing Business As : Animal Health International Inc
| Licensee Name: | Animal Health International Inc |
| Profession Name: | Drug Distributor |
| Licensee Number: | 2013019603 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 6/18/2013 |
| Address: | Jolene Goddard, MIC |
| Address Con't: | 1449A W. Old Highway 40 |
| City, State Zip: | Salina, KS 67401 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Animal Health International Inc |
| Classification: | Out of State Wholesale |
| Current Discipline Status: | Previous |
| Action Taken: | Probation |
| Start Date: | 6/18/2013 |
| End Date: | 6/17/2015 |
| Terms: | Restricted license issued on Probation for two (2) years. Shipped legend drugs without being licensed to do so. Section 338.055.2(6), RSMo. |
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
