Family Pharmacy of Missouri LLC - (Pharmacy)
Jay M Givens, PIC
Branson, MO 65616
License# : 2011029958 - Issued on : 9/7/2011
Doing Business As : Family Pharmacy #28
| Licensee Name: | Family Pharmacy of Missouri LLC |
| Profession Name: | Pharmacy |
| Licensee Number: | 2011029958 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 9/7/2011 |
| Address: | Jay M Givens, PIC |
| Address Con't: | 1494 State Hwy 248 Ste D |
| City, State Zip: | Branson, MO 65616 |
| County: | Taney |
| Practitioner DBA Name: | Family Pharmacy #28 |
| 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
