COMMUNITY COMPOUNDING PHARMACY (Credential# 1126684) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
COMMUNITY COMPOUNDING PHARMACY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0002403. The credential type is nonresident pharmacy. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 6025 Sw Jean Rd, Lake Oswego, OR 97035-5307. The current status is active.
| Licensee Name | COMMUNITY COMPOUNDING PHARMACY |
| Business Name | COMMUNITY COMPOUNDING PHARMACY |
| Credential ID | 1126684 |
| Credential Number | PCN.0002403 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
6025 Sw Jean Rd Lake Oswego OR 97035-5307 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-10-31 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-08-01 |
| Street Address | 6025 SW JEAN RD |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-5307 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ccp Rx | 6025 Jean Rd, Lake Oswego, OR 97035-5307 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lore H Cassidy | 4368 Lakeview Blvd., Lake Oswego, OR 97035 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| John M Dragelin | 4305 Upper Drive, Lake Oswego, OR 97035 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
| James Thomas Sears | 11 Masaryk, Lake Oswego, OR 97035 | Engineer-in-training | 1999-02-09 ~ 2009-02-09 |
| Sue-chin Liu | 5842 Stewart Glenn, Lake Oswego, OR 97035 | Dentist | 2001-11-01 ~ 2002-11-30 |
| Margaret J Graveley | 15923 Sw Twin Fir Rd, Lake Oswego, OR 97035 | Registered Nurse | 2003-04-28 ~ 2004-04-30 |
| Larry P Bornstein | 12311 S W Orchard Hill Rd, Lake Oswego, OR 97035 | Plumbing & Piping Limited Contractor | 1996-12-13 ~ 1997-10-31 |
| Paul Joseph Crebase | 156 Del Prado, Lake Oswego, OR 97035 | Pharmacist | ~ |
| Macy W Woodside · Shaffer | 86 Kingsgate Rd, Lake Oswego, OR 97035-1395 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Erica P Nishitani | 4028 Orchard Dr, Lake Oswego, OR 97035-2406 | Registered Nurse | 2010-06-10 ~ 2011-01-31 |
| Kevin Gregg Billingsley | 14536 Pfeifer Dr, Lake Oswego, OR 97035-2409 | Controlled Substance Registration for Practitioner | 2019-11-15 ~ 2021-02-28 |
| Find all Licenses in zip 97035 | |||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + LAKE OSWEGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Austin Community Compounding Pharmacy | 6701 Austin St, Forest Hills, NY 11375-3533 | Nonresident Pharmacy | 2014-08-22 ~ 2015-08-31 |
| P J 's Pharmacy and Compounding | 3405 Kenyon St Ste 107, San Diego, CA 92110-5004 | Nonresident Pharmacy | 2015-12-16 ~ 2016-08-31 |
| Mcguff Compounding Pharmacy Svcs Inc | 2921 W Macarthur Blvd Suite 142, Santa Ana, CA 92704 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Elite Compounding Pharmacy | 4911 Lyons Technology Pkwy Ste 7, Coconut Creek, FL 33073-4347 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Key Compounding Pharmacy | 530 S 336th St, Federal Way, WA 98003-6383 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Precise Compounding Pharmacy | 10844 Washington Blvd., Culver City, CA 90232 | Nonresident Pharmacy | 2017-09-01 ~ 2018-08-31 |
| Campbells Compounding Pharmacy | 4760 Sweetwater Blvd Ste 103, Sugar Land, TX 77479-3173 | Nonresident Pharmacy | 2014-11-21 ~ 2015-08-31 |
| Compounding Docs Pharmacy | 1000 Clint Moore Rd, Boca Raton, FL 33487-2807 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| The Compounding Pharmacy of America Inc | 6216 Highland Place Way Ste 101a, Knoxville, TN 37919-4068 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Custom Compounding Center · Pharmacy Compounding Ventures, LLC | 904 Autumn Road, Little Rock, AR 72211 | Nonresident Pharmacy | 2001-08-07 ~ 2002-08-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).