PRAIRIE MEDICAL PHARMACY

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****77

CHANGE OF OWNERSHIP

Y

PRAIRIE MEDICAL PHARMACY

03/04/1985

01/17/2018

09/30/2020

MATTOON

IL

61938

COLES

Hospital/Clinic

II III IV V

N

01/17/2018