ESI Mail Pharmacy Service, Inc. - (Pharmacy)
Susan M Lanctot, PIC
Saint Louis, MO 63134
License# : 2000148285 - Issued on : 2/23/2000
Doing Business As : Express Scripts
| Licensee Name: | ESI Mail Pharmacy Service, Inc. |
| Profession Name: | Pharmacy |
| Licensee Number: | 2000148285 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 2/23/2000 |
| Address: | Susan M Lanctot, PIC |
| Address Con't: | 4600 North Hanley Rd. |
| City, State Zip: | Saint Louis, MO 63134 |
| County: | St. Louis County |
| Practitioner DBA Name: | Express Scripts |
| Classification: | Class A, J, M |
| 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
