GOOD SAMARITAN HOSPITAL PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059002981

License Status

CHANGE OF OWNERSHIP

Business

Business Name

GOOD SAMARITAN HOSPITAL PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

06/23/2009