Family Pharmacy Inc - (Pharmacy)
David Wiley, PIC
Springfield, MO 65803
License# : 2007032455 - Issued on : 10/15/2007
Doing Business As : Family Pharmacy #23
| Licensee Name: | Family Pharmacy Inc |
| Profession Name: | Pharmacy |
| Licensee Number: | 2007032455 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 10/15/2007 |
| Address: | David Wiley, PIC |
| Address Con't: | 527 W Kearney |
| City, State Zip: | Springfield, MO 65803 |
| County: | Greene |
| Practitioner DBA Name: | Family Pharmacy #23 |
| Classification: | Class A, C, 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
