License holder summary

Northeastern Tribal Health System is a Pharmacy licensed to practice in Missouri. The address on file for Northeastern Tribal Health System is Gary Elam, PIC  74354. This licensed professional license is current. The license was granted 02/08/2012 and expired on 10/31/2013.

Missouri

Division of Professional Registration

Northeastern Tribal Health System
Pharmacy
License number
2012004785  
Date granted
02/08/2012
Date expires
10/31/2013
Class
Pharmacy
Status
Clear
Address
Gary Elam, PIC 
licensingmissouri.org
ID 5232014
LAST UPDATED 2026-03-30 02:56:47 UTC

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