CORAM HEALTHCARE OF MASSACHUSETTS (Credential# 1325076) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is January 21, 2016. The license expiration date date is August 31, 2016. The license status is INACTIVE.
CORAM HEALTHCARE OF MASSACHUSETTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0003043. The credential type is nonresident pharmacy. The effective date is January 21, 2016. The expiration date is August 31, 2016. The business address is 367 W Main St Unit F, Northborough, MA 01532-2100. The current status is inactive.
| Licensee Name | CORAM HEALTHCARE OF MASSACHUSETTS |
| Business Name | CORAM HEALTHCARE OF MASSACHUSETTS |
| Doing Business As | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Credential ID | 1325076 |
| Credential Number | PCN.0003043 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
367 W Main St Unit F Northborough MA 01532-2100 |
| Business Type | CORPORATION |
| Status | INACTIVE |
| Issue Date | 2016-01-21 |
| Effective Date | 2016-01-21 |
| Expiration Date | 2016-08-31 |
| Refresh Date | 2017-05-02 |
| Street Address | 367 W MAIN ST UNIT F |
| City | NORTHBOROUGH |
| State | MA |
| Zip Code | 01532-2100 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Lacey | [email protected], Northborough, MA 01532-2100 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lynn P Le | 331 Davis St, Northborough, MA 01532 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Salwa Khedr | 10 Autumn Lane, Northborough, MA 01532 | Physician/surgeon | 2020-01-27 ~ 2020-10-31 |
| Alexandria A Dunleavy | 215 Howard St, Northborough, MA 01532 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Brian P Coombs | 27 Macalister Drive, Northborough, MA 01532 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher D Haker | 82 Sunset Drive, Northborough, MA 01532 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jill C Hunter | 14 Vanessa Dr, Northborough, MA 01532 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mikhail S Novikov | 10 Thaddeus Mason Road, Northborough, MA 01532 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Samer G Sadek | 22 Stirrup Brook Ln., Northborough, MA 01532 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Simerjot Kaur | 4 Cyrus Way, Northborough, MA 01532 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Peter Philip Bertochi | 5 Stone Dr, Northborough, MA 01532 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 01532 | |||
| City | NORTHBOROUGH |
| Zip Code | 01532 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + NORTHBOROUGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Coram Healthcare Corp of Mass · Coram Healthcare Corporation of Massachusetts | 233 South St, Hopkinton, MA 01748 | Nonresident Pharmacy | 2006-09-01 ~ 2007-08-31 |
| Coram Healthcare of Mass · Coram Cvs/ Specialty Infusion Services | 575 University Ave Ste 2, Norwood, MA 02062-2654 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Coram Healthcare Corp Northern Ca | 21353 Cabot Blvd, Hayward, CA 94545 | Nonresident Pharmacy | 2000-04-28 ~ 2000-08-31 |
| Coram Specialty Infusion Services An Apria Healthcare Company | 12 Petra Lane, Albany, NY 12205 | Nonresident Pharmacy | 2007-09-01 ~ 2008-08-31 |
| Coram Healthcare Corp of Conn | Suite 101, Woodbridge, CT 06525 | Pharmacy | 1995-04-25 ~ 1995-08-31 |
| Ncs Healthcare of Cincinnati · Ncs Healthcare of Ohio | 6317 Centre Park Dr, W Chester, OH 45069 | Nonresident Pharmacy | 1999-09-01 ~ 2000-04-14 |
| Walgreen Healthcare Plus | 7357 Greenbriar Parkway, Orlando, FL 32819 | Nonresident Pharmacy | 2004-09-01 ~ 2005-08-31 |
| Coram Alternate Site Services Inc · Coram Specialty Infusion Services | 1471 E Business Center Dr Ste 500, Mount Prospect, IL 60056-6082 | Nonresident Pharmacy | 2011-09-28 ~ 2012-08-31 |
| Coram Alternate Site Services Inc · Coram Cvs Specialty Infusion Services | 2345 Waters Dr, Mendota Heights, MN 55120-1163 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Coram Alternate Site Services Inc · Coram Specialty Infusion Services | 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 | Nonresident Pharmacy | 2013-09-01 ~ 2014-08-31 |
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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).