OPTUM PHARMACY 705 LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054017427

License Status

CHANGE OF OWNERSHIP

Business

Business Name

OPTUM PHARMACY 705 LLC

Original Issue Date

05/06/2010

Effective Date

05/06/2010

Expiration Date

03/31/2012

City

LENEXA

State

Zip

66215

County

KANSAS

Ever Disciplined

LastModifiedDate

01/14/2011