Excelsior Springs Medical Center - (Pharmacy)
David Hartwig, PIC
Excelsior Springs, MO 64024
License# : 003468 - Issued on : 3/14/1977
Doing Business As : Excelsior Springs Hospital
| Licensee Name: | Excelsior Springs Medical Center |
| Profession Name: | Pharmacy |
| Licensee Number: | 003468 |
| Expiration Date: | 10/31/2017 |
| Original Issue Date: | 3/14/1977 |
| Address: | David Hartwig, PIC |
| Address Con't: | 1700 Rainbow Drive |
| City, State Zip: | Excelsior Springs, MO 64024 |
| County: | Clay |
| Practitioner DBA Name: | Excelsior Springs Hospital |
| Classification: | Class B, C |
| Current Discipline Status: | Previous |
| Action Taken: | Censure |
| Start Date: | 2/2/2012 |
| End Date: | 2/2/2012 |
| Terms: | Censure of permit. Loss of controlled substances, failed to provide adequate security controls, recordkeeping and controlled substance inventory violations. Section 338.055.2(6), (13), and (15), 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
