FOUNTAIN PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054001068

License Status

CHANGE OF OWNERSHIP

Business

Business Name

FOUNTAIN PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005