CVS SPECIALTY #48640 (Credential# 1670325) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license status is PENDING.
CVS SPECIALTY #48640 is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0003694. The credential type is nonresident pharmacy. The business address is 10302 W Emerald St, Boise, ID 83704-8988. The current status is pending.
| Licensee Name | CVS SPECIALTY #48640 |
| Business Name | CVS SPECIALTY #48640 |
| Credential ID | 1670325 |
| Credential Number | PCN.0003694 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
10302 W Emerald St Boise ID 83704-8988 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | PENDING - APPLICATION PROCESSING |
| Refresh Date | 2019-06-20 |
| Street Address | 10302 W EMERALD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8988 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Riley J Mahaffey | 201 N Maple Grove Rd Ste 100, Boise, ID 83704 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Debra A Cordon | 4393 North Dalton Lane, Boise, ID 83704 | Registered Nurse | 2009-03-16 ~ 2010-03-31 |
| Kevin P Keegan | 8548 Pembrook, Boise, ID 83704 | Emergency Medical Technician | ~ 1992-07-01 |
| Melissa M Stanfill | 2296 N Carmen Ave, Boise, ID 83704 | Registered Nurse | 2007-09-20 ~ 2008-10-31 |
| Nola Rae Applebee | 1346 N.pilgrim Ave, Boise, ID 83704 | Registered Nurse | 2006-09-18 ~ 2007-09-30 |
| Sydnie A Braithwaite | 9148 W. Tudor Court, Boise, ID 83704 | Registered Nurse | 2005-12-01 ~ 2006-12-31 |
| Vaughn A Applebee | 1346 N. Pilgrim Ave., Boise, ID 83704 | Registered Nurse | 2006-09-18 ~ 2007-10-31 |
| Anna M Aramburu | 7545 Manorwood Drive, Boise, ID 83704 | Dental Hygienist | 2006-06-14 ~ 2007-06-30 |
| Tracie M Stom | 4747 Mountain View Drive, Boise, ID 83704 | Registered Nurse | 2004-04-01 ~ 2005-01-31 |
| Catherine M. Hitt-piechowski | 3560 Kilarney Drive, Boise, ID 83704 | Pharmacist | 1999-02-01 ~ 2000-01-31 |
| Find all Licenses in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + BOISE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Specialty Pharmacy Inc · Specialty Pharmacy, Inc. | 309b Henderson Drive, Sharon Hill, PA 19079 | Nonresident Pharmacy | 2002-09-01 ~ 2003-08-31 |
| Advancepriority Specialty Rx LLC · Advancepcs Specialty Rx, LLC | 100 Technology Park, Lake Mary, FL 32746 | Nonresident Pharmacy | 2003-09-01 ~ 2003-11-13 |
| Ingeniorx Specialty · Cvs Specialty | 1451 Center Crossing Rd, Las Vegas, NV 89144-7047 | Nonresident Pharmacy | ~ |
| Empire Specialty Pharmacy Corp · Garden State Specialty Pharmacy | 6509 Bergenline Ave, West New York, NJ 07093-1608 | Nonresident Pharmacy | 2017-09-01 ~ 2018-08-31 |
| Walgreens Specialty Pharmacy LLC · Walgreens Specialty Pharmacy #12313 | 412 Mount Kemble Ave Ste 300n, Morristown, NJ 07960-6666 | Nonresident Pharmacy | 2010-09-01 ~ 2011-08-31 |
| Caremark Florida Specialty Pharmacy LLC · Cvs/specialty | 7930 Woodland Center Blvd Ste 500, Tampa, FL 33614-2435 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Caremark Kansas Specialty Pharmacy LLC · Cvs/specialty | 11162 Renner Boulevard, Lenexa, KS 66219 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Kroger Specialty Pharmacy Inc · Kroger Specialty Pharmacy Fl | 3200 Lake Emma Rd Unit 1000, Lake Mary, FL 32746-3358 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Cvs Specialty | 8370 Wolf Lake Dr Ste 107, Memphis, TN 38133-7108 | Nonresident Pharmacy | 2019-07-15 ~ 2020-08-31 |
| Specialty Rx Inc | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on CVS SPECIALTY #48640.
| 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).