Pharmacist
LICENSED CONTROLLED PHARMACY SUBSTANCE
32*****68
NOT RENEWED
Y
CORAM ALTERNATE SITE SERVICES INC
CORAM CVS/SPECIALTY INFUSION SERVICES
05/16/2012
03/03/2022
03/31/2024
CHAMPAIGN
IL
61821
RETAIL PHARMACY
II III IV V
N
02/05/2025