Excelsior Medical Corporation - (Drug Distributor Registrant)
317 Fairfield Road
Freehold, MO 07728
License# : 2006016180 - Issued on : 6/12/2006
Doing Business As : Excelsior Medical Corporation
| Licensee Name: | Excelsior Medical Corporation |
| Profession Name: | Drug Distributor Registrant |
| Licensee Number: | 2006016180 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 6/12/2006 |
| Address: | 317 Fairfield Road |
| Address Con't: | |
| City, State Zip: | Freehold, NJ 07728 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Excelsior Medical Corporation |
| Classification: |
| 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
