SHOPKO PHARMACY 2139 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054015780

License Status

CHANGE OF OWNERSHIP

Business

Business Name

SHOPKO PHARMACY 2139

Effective Date

04/06/2006

Expiration Date

03/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

02/27/2006