111TH PHARMA-CARE

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****78

CHANGE OF OWNERSHIP

Y

111TH PHARMA-CARE

10/02/1990

01/25/2012

03/31/2014

CHICAGO

IL

60628

COOK

Retail Pharmacy

II III IV V

N

03/03/2008