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*****52

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ST MARY'S MEDICAL PARK PHARMACY INC

Original Issue Date

01/24/2014

Effective Date

11/24/2014

Expiration Date

12/31/2016

City

ORO VALLEY

State

Zip

85737

County

ARIZONA

Specialty/Qualifier

MANUFACTURER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/07/2014