SOUTH BEND SPECIALTY PHARMACY LLC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054020526

License Status

NOT RENEWED

Business

Business Name

SOUTH BEND SPECIALTY PHARMACY LLC

Original Issue Date

09/26/2017

Effective Date

01/21/2020

Expiration Date

05/31/2022

City

SOUTH BEND

State

Zip

46635

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022