KMART PHARMACY 9331 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005907

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 9331

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005