PHARMBLUE LLC Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054018350

License Status

ACTIVE

Business

Business Name

PHARMBLUE LLC

BusinessDBA

AVITA PHARMACY 1060

Original Issue Date

09/27/2013

Effective Date

03/27/2024

Expiration Date

03/31/2026

City

PHILADELPHIA

State

Zip

19107

Ever Disciplined

LastModifiedDate

09/10/2025