CENTRAL COMPOUND PHARMACY SUPPLY LLC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004003646

License Status

NOT RENEWED

Business

Business Name

CENTRAL COMPOUND PHARMACY SUPPLY LLC

Original Issue Date

04/03/2013

Effective Date

12/31/2014

Expiration Date

12/31/2016

City

SPRINGFIELD

State

Zip

40069

County

KENTUCKY

Specialty/Qualifier

WHOLESALE DRUG

Ever Disciplined

LastModifiedDate

02/17/2017