CORAM HEALTHCARE CORP OF INDIANA - Pharmacist License in Indiana | # 054013299

CORAM HEALTHCARE CORP OF INDIANA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054013299

License Status

NOT RENEWED

Business

Y

Business Name

CORAM HEALTHCARE CORP OF INDIANA

BusinessDBA

CORAM CVS SPECIALTY INFUSION SERVICES

Original Issue Date

09/05/1996

Effective Date

01/22/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021