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License #: 11136
Company: MYCOVIA PHARMACEUTICALS, INC.
DBA:
C/O (3PL) Distributor: c/o Integrated Commercialztn Solutns/ ICS
Distribution Location:  
Address: 420 International Drive, Suite 500
City: Brooks State: KY Zip: 40109
Additional 3PLs: None
Business Location:  
Address: 4819 EMPEROR BOULEVARD, SUITE 400
City: DURHAM State: NC Zip: 27703
Regulatory:  
Telephone #: 919-467-8539 Fax #: 919-467-8540
License Type: Drug or Device Distributor
License Sub-Type: Wholesaler
First Issue Date: 2024-01-24Expiration Date: 2024-12-31
Disciplinary or Enforcement Action(s): No