THROGMORTON POWLESS PHARMACY HME and Services Provider License verification

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000383

License Status

NOT RENEWED

Business

Business Name

THROGMORTON POWLESS PHARMACY

Original Issue Date

07/18/2002

Effective Date

01/19/2006

Expiration Date

03/31/2009

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

05/06/2009