Fagron - (Drug Distributor)
Joshua Radke, MIC
Saint Paul, MO 55120
License# : 2010017280 - Issued on : 5/28/2010
Doing Business As : Fagron
| Licensee Name: | Fagron |
| Profession Name: | Drug Distributor |
| Licensee Number: | 2010017280 |
| Expiration Date: | 10/31/2017 |
| Original Issue Date: | 5/28/2010 |
| Address: | Joshua Radke, MIC |
| Address Con't: | 2400 Pilot Knob Rd |
| City, State Zip: | Saint Paul, MN 55120 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Fagron |
| Classification: | Out of State Wholesale |
| 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
