SUPERVALU PHARMACIES INC - HME and Services Provider License in Illinois | # 203001381

SUPERVALU PHARMACIES INC

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

Y

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018