Express Scripts Pharmacy Inc - (Pharmacy)
Jennifer L Backhus, PIC
Tampa, MO 33610
License# : 2014004518 - Issued on : 2/13/2014
Doing Business As : Express Scripts
| Licensee Name: | Express Scripts Pharmacy Inc |
| Profession Name: | Pharmacy |
| Licensee Number: | 2014004518 |
| Expiration Date: | 10/31/2017 |
| Original Issue Date: | 2/13/2014 |
| Address: | Jennifer L Backhus, PIC |
| Address Con't: | 5701 E Hillsborough Ave Ste 1300 |
| City, State Zip: | Tampa, FL 33610 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Express Scripts |
| Classification: | Class J |
| 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
