MOUNT PULASKI PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054008076

License Status

CHANGE OF OWNERSHIP

Business

Business Name

MOUNT PULASKI PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005