Exempla Saint Joseph Hospital Inc - (Pharmacy)
Christopher Wilson, PIC
Denver, MO 80218
License# : 2012008391 - Issued on : 3/9/2012
Doing Business As : CCC Pharmacy
| Licensee Name: | Exempla Saint Joseph Hospital Inc |
| Profession Name: | Pharmacy |
| Licensee Number: | 2012008391 |
| Expiration Date: | 10/31/2017 |
| Original Issue Date: | 3/9/2012 |
| Address: | Christopher Wilson, PIC |
| Address Con't: | 1825 Marion St |
| City, State Zip: | Denver, CO 80218 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | CCC Pharmacy |
| Classification: | Class A, D, H |
| 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
