CUSTOM COMPOUNDING CENTER (Credential# 283105) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is August 7, 2001. The license expiration date date is August 31, 2002. The license status is INACTIVE.
CUSTOM COMPOUNDING CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0000403. The credential type is nonresident pharmacy. The effective date is August 7, 2001. The expiration date is August 31, 2002. The business address is 904 Autumn Road, Little Rock, AR 72211. The current status is inactive.
| Licensee Name | CUSTOM COMPOUNDING CENTER |
| Business Name | CUSTOM COMPOUNDING CENTER |
| Doing Business As | PHARMACY COMPOUNDING VENTURES, LLC |
| Credential ID | 283105 |
| Credential Number | PCN.0000403 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
904 Autumn Road Little Rock AR 72211 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2001-08-07 |
| Expiration Date | 2002-08-31 |
| Refresh Date | 2009-01-26 |
| Street Address | 904 AUTUMN ROAD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan M Dowling-quarles | 1219 Old Charter Crt, Little Rock, AR 72211 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Slang Tv, LLC | 1 Shackleford Dr, Little Rock, AR 72211 | Securities - Exemptions | 2020-03-18 ~ |
| Shree Gopal Sharma | 10810 Executive Center Dr., Little Rock, AR 72211 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Daniel Mak | 3321 S Bowman Rd, Little Rock, AR 72211 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Terri W Crook | 3 Orleans Ct, Little Rock, AR 72211 | Physician/surgeon | 2007-06-26 ~ 2008-08-31 |
| Kelly S Rusher | 2816 Creekside Dr, Little Rock, AR 72211 | Registered Nurse | ~ 1999-08-31 |
| Jacqueline Upton | 12111 West Markham, Little Rock, AR 72211 | Registered Nurse | 1997-06-03 ~ 1998-05-31 |
| Kelley M Gilbert | 501 Napa Valley Dr, Little Rock, AR 72211 | Registered Nurse | 2001-08-13 ~ 2002-03-31 |
| Carla B Johnson | 12810 St Charles Blv, Little Rock, AR 72211 | Registered Nurse | 2001-05-29 ~ 2002-06-30 |
| Rowena M Garcia | 1419 Cherry Brook Dr, Little Rock, AR 72211 | Registered Nurse | 2000-09-28 ~ 2001-10-31 |
| Find all Licenses in zip 72211 | |||
| City | LITTLE ROCK |
| Zip Code | 72211 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + LITTLE ROCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Custom Solutions Compounding Center LLC | 435 Hartford Turnpike, Vernon, CT 06066 | Pharmacy | ~ |
| Custom Compounding Pharmacy LLC | 1880 Santa Fe Dr Ste 200, Weatherford, TX 76086-6484 | Nonresident Pharmacy | ~ |
| Custom Compounding Centers LLC | 10525 Humbolt St, Los Alamitos, CA 90720-5401 | Nonresident Pharmacy | 2012-09-01 ~ 2013-08-31 |
| American Custom Compounding Pharmacy LLC | 2607 Walnut Hill Ln Ste 220, Dallas, TX 75229-7615 | Nonresident Pharmacy | ~ |
| Brown's Compounding Center | 13796 Compark Blvd #100, Englewood, CO 80112-7108 | Nonresident Pharmacy | 2014-09-01 ~ 2015-08-31 |
| California Pharmacy & Compounding Center | 4000 Birch St Ste 120, Newport Beach, CA 92660-2258 | Nonresident Pharmacy | 2011-09-01 ~ 2012-08-31 |
| Custom Compounding LLC D/b/a Ccpa | 3 Maple St, Kent, CT 06757-1711 | Pharmacy | 2014-09-01 ~ 2015-08-31 |
| Lynnfield Compounding Center · Lynnfield Drug Inc | 10 Post Office Square, Lynnfield, MA 01940 | Nonresident Pharmacy | 2000-09-01 ~ 2001-08-31 |
| Carolina Compounding Pharmacy & Health Center | 254 Towne Village Dr, Cary, NC 27513-8910 | Nonresident Pharmacy | 2016-04-25 ~ 2016-08-31 |
| The Compounding Center Inc | 1110 E Mcdowell Rd, Phoenix, AZ 85006-2611 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
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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).