Fakes, Moriah Eleanor - (Pharmacy Intern)
Shrewsbury, MO 63119
License# : 2013018150 - Issued on : 6/12/2013
Doing Business As :
| Licensee Name: | Fakes, Moriah Eleanor |
| Profession Name: | Pharmacy Intern |
| Licensee Number: | 2013018150 |
| Expiration Date: | 12/31/2016 |
| Original Issue Date: | 6/12/2013 |
| Address: | |
| Address Con't: | |
| City, State Zip: | Shrewsbury, MO 63119 |
| County: | St. Louis County |
| Practitioner DBA Name: | |
| Classification: |
| 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
