SHOPKO INSTITUTIONAL CARE SERVICES CO LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054017660

License Status

CHANGE OF OWNERSHIP

Business

Business Name

SHOPKO INSTITUTIONAL CARE SERVICES CO LLC

Original Issue Date

04/05/2011

Effective Date

01/28/2014

Expiration Date

03/31/2016

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/29/2014