PRODIGY HEALTH SUPPLIER CORPORATION Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004001732

License Status

CHANGE OF OWNERSHIP

Business

Business Name

PRODIGY HEALTH SUPPLIER CORPORATION

Original Issue Date

05/07/2003

Effective Date

12/22/2014

Expiration Date

12/31/2016

City

AUSTIN

State

Zip

78748

County

TEXAS

Specialty/Qualifier

WHOLESALE DRUG

Ever Disciplined

LastModifiedDate

02/10/2023