SUPERVALU PHARMACIES INC 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

203001381

License Status

NOT RENEWED

Business

Business Name

SUPERVALU PHARMACIES INC

BusinessDBA

OSCO PHARMACY 4525/438

Original Issue Date

01/04/2012

Effective Date

02/11/2015

Expiration Date

03/31/2018

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018