PHOENIX ASSURANCE LLC - Pharmacist License in Tennessee | # 30*****42

PHOENIX ASSURANCE LLC

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED SUBSTANCE DRUG DIST

License Number

30*****42

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

PHOENIX ASSURANCE LLC

Original Issue Date

04/08/2020

Effective Date

11/05/2024

Expiration Date

12/31/2026

State

TN

Specialty/Qualifier

DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

03/03/2026