DOMINICKS PHARMACY 123

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****98

CHANGE OF OWNERSHIP

Y

DOMINICKS PHARMACY 123

06/29/1988

06/29/1988

03/31/1996

CHICAGO

IL

60630

COOK

Hospital/Clinic

II III IV V

N

10/18/2005