MEDSOURCE RX PHARMACY Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054017534

License Status

CLOSED

Business

Business Name

MEDSOURCE RX PHARMACY

Original Issue Date

09/08/2010

Effective Date

02/16/2012

Expiration Date

03/31/2014

City

SANDY

State

Zip

84070

County

UTAH

Ever Disciplined

LastModifiedDate

05/06/2014