CYNTRIST PHARMACY LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****16

License Status

CHANGE OF OWNERSHIP

Business

Business Name

CYNTRIST PHARMACY LLC

Original Issue Date

01/12/2011

Effective Date

01/12/2012

Expiration Date

03/31/2014

City

PALM BAY

State

Zip

32907

County

FLORIDA

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2014