WORCESTER PHARMACY LLC (Credential# 1994220) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is January 21, 2020. The license expiration date date is August 31, 2020. The license status is ACTIVE.
WORCESTER PHARMACY LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0003758. The credential type is nonresident pharmacy. The effective date is January 21, 2020. The expiration date is August 31, 2020. The business address is 149 Shrewsbury St, Worcester, MA 01604. The current status is active.
| Licensee Name | WORCESTER PHARMACY LLC |
| Business Name | WORCESTER PHARMACY LLC |
| Doing Business As | BOULEVARD PHARMECEUTICAL COMPOUNDING |
| Credential ID | 1994220 |
| Credential Number | PCN.0003758 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
149 Shrewsbury St Worcester MA 01604 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-21 |
| Effective Date | 2020-01-21 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2020-01-23 |
| Street Address | 149 SHREWSBURY ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Marie Baroni | 69 Dustin Street, Worcester, MA 01604 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Karen Fontanares Mancera | 282 Hamilton Street, Worcester, MA 01604 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Justin T Jarboe | 8 Seward St, Worcester, MA 01604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Liza Detenber | 7 E. Lake St., Worcester, MA 01604 | Licensed Clinical Social Worker | ~ |
| James Franklin Scola | 433 Sunderland Road, Ap. K, Worcester, MA 01604 | Notary Public Appointment | 2020-03-13 ~ 2025-03-31 |
| Dennis J Mercure | 44 Ernest Ave, Worcester, MA 01604 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Johnathan A Simpson | 113 Warner Ave, Worcester, MA 01604 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Allan Kasozi Musoke | 59 Heywood St, Worcester, MA 01604 | Registered Nurse | 2019-01-14 ~ 2019-10-31 |
| Rachel E Swedo | 62 Alvarado Ave, Worcester, MA 01604 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Craig A Thomas | 110 Orient St, Worcester, MA 01604 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 01604 | |||
| City | WORCESTER |
| Zip Code | 01604 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allcare Pharmacy Inc | 12 Plymouth St Ste 100, Worcester, MA 01608-2121 | Nonresident Pharmacy | 2018-09-01 ~ 2019-08-31 |
| Careplus Cvs/pharmacy #8414 | 123 Summer St Ste 360, Worcester, MA 01608-1216 | Nonresident Pharmacy | 2012-09-01 ~ 2013-08-31 |
| Umass Memorial Medical Center Specialty Pharmacy | 55 Lake Ave North Acc Building 1st Floor, Worcester, MA 01655-0002 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Cvs Pharmacy · Cvs Pharmacy Central Pharmacy Services | 25 Blackstone Valley Pl, Lincoln, RI 02865-1184 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Vc Pharmacy Inc · Rite Care Pharmacy Iv | 3453 Saint Francis Ave, Dallas, TX 75228-7199 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Asc Pharmacy Inc · Asc Specialty Pharmacy | 3416 W 84th St Ste 108a, Hialeah, FL 33018-4933 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Mn Pharmacy LLC · Amazon Pharmacy #003 | 8725 Nw 13th Ter, Doral, FL 33172-3013 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Mah Pharmacy LLC · Chd Pharmacy | 4600 N Hanley Rd Ste C, Saint Louis, MO 63134-2715 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| R & B Pharmacy Inc · Clark's Pharmacy | 36889 N Tom Darlington Rd, Carefree, AZ 85377 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Slv Pharmacy Inc · Valley Pharmacy | 107 State Route 10 E, Succasunna, NJ 07876-1430 | Nonresident Pharmacy | ~ |
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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).