Fairview Pharmacy Services, LLC - (Pharmacy)
Melissa Nelson, PIC
Minneapolis, MO 55414
License# : 2008011455 - Issued on : 4/24/2008
Doing Business As : Fairview Specialty Servcies Pharmacy
| Licensee Name: | Fairview Pharmacy Services, LLC |
| Profession Name: | Pharmacy |
| Licensee Number: | 2008011455 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 4/24/2008 |
| Address: | Melissa Nelson, PIC |
| Address Con't: | 711 Kasota Ave SE |
| City, State Zip: | Minneapolis, MN 55414 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Fairview Specialty Servcies Pharmacy |
| Classification: | Class A |
| 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
