BENNER FAMILY PHARMACY HME and Services Provider License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000583

License Status

CHANGE OF OWNERSHIP

Business

Business Name

BENNER FAMILY PHARMACY

BusinessDBA

THE PHARMACY STOP

Original Issue Date

08/09/2004

Effective Date

04/12/2018

Expiration Date

03/31/2021

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/02/2018