PRAIRIE COMPOUNDING PHARMACY Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054017639

License Status

CLOSED

Business

Business Name

PRAIRIE COMPOUNDING PHARMACY

Original Issue Date

03/09/2011

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/26/2012