CUSTOM PRESCRIPTION SHOPPE - Pharmacist License in Washington | # 054015435

CUSTOM PRESCRIPTION SHOPPE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054015435

License Status

NOT RENEWED

Business

Y

Business Name

CUSTOM PRESCRIPTION SHOPPE

Original Issue Date

02/28/2005

Effective Date

01/05/2010

Expiration Date

03/31/2012

State

WA

Ever Disciplined

N

LastModifiedDate

05/07/2012