ST MARY'S MEDICAL PARK PHARMACY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED SUBSTANCE DRUG DIST

License Number

30*****22

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ST MARY'S MEDICAL PARK PHARMACY INC

Original Issue Date

06/18/1997

Effective Date

10/11/2012

Expiration Date

12/31/2014

City

ORO VALLEY

State

Zip

85737

County

ARIZONA

Specialty/Qualifier

DISTRIBUTOR

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/20/2006