CUSTOM COMPOUNDING PHARMACY LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054019610

License Status

CHANGE OF OWNERSHIP

Business

Business Name

CUSTOM COMPOUNDING PHARMACY LLC

Original Issue Date

10/13/2015

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

WEATHERFORD

State

Zip

76086

Ever Disciplined

LastModifiedDate

08/18/2020