OPTUM PHARMACY 801 INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004004049

License Status

CHANGE OF OWNERSHIP

Business

Business Name

OPTUM PHARMACY 801 INC

Original Issue Date

11/13/2015

Effective Date

12/11/2016

Expiration Date

12/31/2018

City

PHOENIX

State

Zip

85085

County

ARIZONA

Specialty/Qualifier

OTHER

Ever Disciplined

LastModifiedDate

12/18/2018