KMART PHARMACY 3245 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006400

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 3245

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005