Exempla Good Samaritan Medical Center LLC - (Pharmacy)
Kelly Carstens, PIC
Lafayette, MO 80026
License# : 2014001032 - Issued on : 1/13/2014
Doing Business As : Good Samaritan Medical Center
| Licensee Name: | Exempla Good Samaritan Medical Center LLC |
| Profession Name: | Pharmacy |
| Licensee Number: | 2014001032 |
| Expiration Date: | 10/31/2017 |
| Original Issue Date: | 1/13/2014 |
| Address: | Kelly Carstens, PIC |
| Address Con't: | 200 Exempla Cir |
| City, State Zip: | Lafayette, CO 80026 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Good Samaritan Medical Center |
| Classification: | Class A, B |
| 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
