PARKSIDE PHARMACY

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED PHARMACY

054009148

CHANGE OF OWNERSHIP

Y

PARKSIDE PHARMACY

04/13/1987

04/13/1987

03/31/2002

IL

Y

10/17/2005

1998010906

Revocation

05/01/2000

05/01/2000

Submitting numerous false claims to a third party payer seeking reimbursement for prescription medications allegedly dispensed to a customer of Parkside Pharmacy.