KAISER PERMANENTE PHARMACY #985 (Credential# 1615331) 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.
KAISER PERMANENTE PHARMACY #985 is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0003576. The credential type is nonresident pharmacy. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 9521 Dalen St, Downey, CA 90242-4847. The current status is active.
| Licensee Name | KAISER PERMANENTE PHARMACY #985 |
| Business Name | KAISER PERMANENTE PHARMACY #985 |
| Credential ID | 1615331 |
| Credential Number | PCN.0003576 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
9521 Dalen St Downey CA 90242-4847 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-31 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-16 |
| Street Address | 9521 DALEN ST |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242-4847 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jihyun Jeong | 12450 Lakewood Blvd #102, Downey, CA 90242 | Registered Nurse | 2010-06-01 ~ 2011-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Himadri B Dwivedi | 9206 Sunshine Pl, Downey, CA 90240-2563 | Radiographer | 2020-05-01 ~ 2021-04-30 |
| Jonathan Ruiz | 9426 Nance Ave Apt 206, Downey, CA 90241-5564 | Elevator Limited Conveyor Journeyperson | ~ |
| Lagrand P Leavitt | 9724 Blandwood, Downey, CA 90240 | Professional Engineer & Land Surveyor | 1986-02-20 ~ 1987-01-31 |
| Manuel M Reyes | 10331 Western Ave Apt #6, Downey, CA 90241 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Raymond C Emiro | 7157 Stewart & Gray Rd #12, Downey, CA 90241 | Plumbing & Piping Unlimited Journeyperson | 1999-11-01 ~ 2000-10-31 |
| Raymond C Emiro | 7157 Stewart & Gray Road #12, Downey, CA 90241 | Fire Protection Unlimited Journeyperson | ~ |
| Lucia S Whie-grayson | Kaiser Permanente, Downey, CA 90241 | Physician/surgeon | 1999-11-12 ~ 2001-01-31 |
| City | DOWNEY |
| Zip Code | 90242 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + DOWNEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaiser Permanente Pharmacy 329 | 4131 Geary Blvd Ste 112, San Francisco, CA 94118-3101 | Nonresident Pharmacy | 2019-06-27 ~ 2020-08-31 |
| Kaiser Permanente Wa Mail Order Pharmacy | 2921 Naches Ave Sw, Renton, WA 98057-2617 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Kaiser Permanente Sterling Automated Refill Center | 22370 Davis Dr, Sterling, VA 20164-5367 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Kaiser Permanente | 130 Hartford Rd, Manchester, CT 06040-5921 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Kaiser Permanente | 299 Farmington Avenue, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1993-12-06 ~ 1995-12-01 |
| Community Health Plan/ | Kaiser Permanente, Albany, NY 12210 | Nonresident Pharmacy | 1999-09-01 ~ 2000-08-31 |
| Lucia S Whie-grayson | Kaiser Permanente, Downey, CA 90241 | Physician/surgeon | 1999-11-12 ~ 2001-01-31 |
| Kathryn M Palmer | Kaiser Permanente, Falls Church, VA 22046 | Physician/surgeon | 2009-05-08 ~ 2010-06-30 |
| Joe Marion Md | Kaiser Permanente, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Theodore Bruno Md · C/o Kaiser Permanente | 5 Tarry Town Lane, Niantic, CT 06357 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on KAISER PERMANENTE PHARMACY #985.
| 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).