AVELLA OF SAINT LOUIS INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****05

License Status

CHANGE OF OWNERSHIP

Business

Business Name

AVELLA OF SAINT LOUIS INC

Original Issue Date

07/09/2010

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/07/2018