OPTUM PHARMACY 801 INC - Pharmacist License in Arizona | # 004004049

OPTUM PHARMACY 801 INC

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004004049

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

OPTUM PHARMACY 801 INC

Original Issue Date

11/13/2015

Effective Date

12/11/2016

Expiration Date

12/31/2018

State

AZ

Specialty/Qualifier

OTHER

Ever Disciplined

N

LastModifiedDate

12/18/2018