EVERGREEN PHARMACEUTICAL LLC (Credential# 316044) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is September 10, 2002. The license expiration date date is August 31, 2003. The license status is INACTIVE.
EVERGREEN PHARMACEUTICAL LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0000488. The credential type is nonresident pharmacy. The effective date is September 10, 2002. The expiration date is August 31, 2003. The business address is 12220 113th Avenue Northeast, Kirkland, WA 98034. The current status is inactive.
Licensee Name | EVERGREEN PHARMACEUTICAL LLC |
Business Name | EVERGREEN PHARMACEUTICAL LLC |
Doing Business As | OMNICARE, INC. |
Credential ID | 316044 |
Credential Number | PCN.0000488 |
Credential Type | NONRESIDENT PHARMACY |
Business Address |
12220 113th Avenue Northeast Kirkland WA 98034 |
Business Type | LIMITED LIABILITY COMPANY |
Status | INACTIVE |
Effective Date | 2002-09-10 |
Expiration Date | 2003-08-31 |
Refresh Date | 2009-01-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1054569 | CSW.0002751 | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES | - | INACTIVE |
Street Address | 12220 113TH AVENUE NORTHEAST |
City | KIRKLAND |
State | WA |
Zip Code | 98034 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John R Beebe Jr | 13174 93rd Ave Ne, Kirkland, WA 98034 | Professional Engineer | 1990-12-27 ~ 1991-01-31 |
Marsha Kelly | 11416 Ne 128th, Kirkland, WA 98034 | Registered Nurse | 2008-02-04 ~ 2009-03-31 |
Sandra L Cawrse | 9709 Ne 139 St, Kirkland, WA 98034 | Occupational Therapist | 1997-08-05 ~ 1999-07-31 |
Miranda R Thorpe | 10105 Ne 125th Dr, Kirkland, WA 98034 | Registered Nurse | 1992-10-23 ~ 1993-11-30 |
Catherine Dewitt | 11410 Ne 124th St, Kirkland, WA 98034 | Registered Nurse | 2007-06-20 ~ 2007-12-31 |
Tammy L Putnam | 12515 Ne 132nd Ct, Kirkland, WA 98034 | Registered Nurse | 2000-09-26 ~ 2001-10-31 |
Jo-ann T White | 11405-81st Avenue Ne, Kirkland, WA 98034 | Registered Nurse | 2000-07-19 ~ 2001-04-30 |
Leona L James | 9912 Ne 142nd Pl, Kirkland, WA 98034-0312 | Dental Hygienist | 2019-12-01 ~ 2020-11-30 |
David E Hunnicutt | 13464 95th Ave Ne, Kirkland, WA 98034-1854 | Temporary Certified General Real Estate Appraiser | 2011-06-13 ~ 2011-12-13 |
Robert J Lainer | 12428 83rd Pl Ne, Kirkland, WA 98034-2570 | Pharmacist | 1996-02-01 ~ 1997-01-31 |
Find all Licenses in zip 98034 |
City | KIRKLAND |
Zip Code | 98034 |
License Type | NONRESIDENT PHARMACY |
License Type + County | NONRESIDENT PHARMACY + KIRKLAND |
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North American Pharmaceutical · North American Pharmaceutical Group Inc | 4906 S W 72nd Avenue, Miami, FL 33155 | Nonresident Pharmacy | 2005-09-01 ~ 2006-08-31 |
Science Pharmaceutical | 7225 Fulton Ave Ste H, North Hollywood, CA 91605 | Nonresident Pharmacy | 2017-09-01 ~ 2018-08-31 |
Pharmaceutical Specialties Inc | 4330 S Manhattan Ave, Tampa, FL 33611 | Nonresident Pharmacy | 2018-09-01 ~ 2019-08-31 |
Tri-state Pharmaceutical LLC | 1985 Swarthmore Ave Ste 3, Lakewood, NJ 08701-4554 | Nonresident Pharmacy | 2015-10-22 ~ 2016-08-31 |
Amerimed Pharmaceutical Services LLC | 3626 Park Central Boulevard North, Pompano Beach, FL 33064 | Nonresident Pharmacy | 2006-08-30 ~ 2007-08-31 |
Access Pharmaceutical Services | 113 East Sellers Ave Suite B, Ridley Park, PA 19078 | Nonresident Pharmacy | 2007-09-01 ~ 2008-08-31 |
Orsini Pharmaceutical Services LLC | 1107 Nicholas Blvd, Elk Grove Village, IL 60007-2516 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
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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).