PRODIGY HEALTH SUPPLIER CORPORATION Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004005228

License Status

CHANGE OF OWNERSHIP

Business

Business Name

PRODIGY HEALTH SUPPLIER CORPORATION

Original Issue Date

11/16/2022

Effective Date

11/16/2022

Expiration Date

12/31/2024

State

Specialty/Qualifier

WHOLESALE DRUG

Ever Disciplined

LastModifiedDate

03/13/2023

Case Number

2022006304

Action

Reprimand

Discipline Start Date

10/06/2022

Discipline Reason

wholesale drug distributor license issued with reprimand due to unprofessional conduct and sister-state discipline.