OPTUM PHARMACY 705 LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054016084

License Status

CHANGE OF OWNERSHIP

Business

Business Name

OPTUM PHARMACY 705 LLC

Original Issue Date

01/26/2007

Effective Date

01/31/2012

Expiration Date

03/31/2014

City

COLUMBUS

State

Zip

39705

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

01/11/2013