SHOE CREEK PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054004404

License Status

CHANGE OF OWNERSHIP

Business

Business Name

SHOE CREEK PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

WAYNE CITY

State

Zip

62895

County

WAYNE

Ever Disciplined

LastModifiedDate

10/17/2005