MEDICARE PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006005

License Status

CHANGE OF OWNERSHIP

Business

Business Name

MEDICARE PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

MURPHYSBORO

State

Zip

62966

County

UNION

Ever Disciplined

LastModifiedDate

07/06/2009