SHELBY MEMORIAL HOSPITAL PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059008359

License Status

CHANGE OF OWNERSHIP

Business

Business Name

SHELBY MEMORIAL HOSPITAL PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/2002

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/19/2005