WALGREENS SPECIALTY PHARMACY #15438 (Credential# 479825) 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.
WALGREENS SPECIALTY PHARMACY #15438 is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0000883. The credential type is nonresident pharmacy. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 41460 Haggerty Cir S, Canton, MI 48188-2227. The current status is active.
| Licensee Name | WALGREENS SPECIALTY PHARMACY #15438 |
| Business Name | WALGREENS SPECIALTY PHARMACY #15438 |
| Doing Business As | ALLIANCERX WALGREENS PRIME #15438 |
| Credential ID | 479825 |
| Credential Number | PCN.0000883 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
41460 Haggerty Cir S Canton MI 48188-2227 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-09-01 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-31 |
| Street Address | 41460 HAGGERTY CIR S |
| City | CANTON |
| State | MI |
| Zip Code | 48188-2227 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dennis J O'beirne | 267 Kingsway, Canton, MI 48188 | Architect | 2009-08-01 ~ 2010-07-31 |
| Maria T Dimaria | 1607 Thistle Ct, Canton, MI 48188 | Occupational Therapist | ~ 1997-07-31 |
| Piushbhai Jadav Patel | 48596 Greenwich Lane, Canton, MI 48188 | Pharmacist | ~ |
| Deborah Ann Brooks | 42104 Marissa Ct, Canton, MI 48188-1198 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Quiona J Cutler | 1277 Stacy Dr, Canton, MI 48188-1433 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Samba S Ganji | 1335 Stacy Dr, Canton, MI 48188-1444 | Pharmacist | ~ |
| Brianne T Clarin | 48271 Manhattan Cir, Canton, MI 48188-1498 | Registered Nurse | 2013-09-23 ~ 2014-08-31 |
| Mark E A Mckenzie | 465 Worthington Rd, Canton, MI 48188-1511 | Public Service Technician - Telephone | 2011-01-10 ~ 2011-09-30 |
| Jean C Sitou | 39894 Cheviot Rd, Canton, MI 48188-1524 | Public Service Technician - Telephone | 2011-03-11 ~ 2011-09-30 |
| Tahir Bari | 49500 Great Falls Rd, Canton, MI 48188-3459 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Find all Licenses in zip 48188 | |||
| City | CANTON |
| Zip Code | 48188 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Walgreens Specialty Pharmacy LLC · Alliancerx Walgreens Prime #15443 | 10530 John W Elliott Dr Ste 100, Frisco, TX 75033-2001 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Walgreens Specialty Pharmacy LLC · Alliancerx Walgreens Prime #12314 | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008-7148 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Walgreens Specialty Pharmacy LLC · Alliancerx Walgreens Prime #16287 | 130 Enterprise Dr, Pittsburgh, PA 15275-1213 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Walgreens Specialty Pharmacy #13622 | 260-d Fordham Road, Wilmington, MA 01887 | Nonresident Pharmacy | 2011-09-01 ~ 2012-08-31 |
| Walgreens Specialty Infusion Pharmacy | 2050 S Finley Rd Ste 20, Lombard, IL 60148-4837 | Nonresident Pharmacy | 2009-11-18 ~ 2010-08-31 |
| Walgreens Specialty Pharmacy | 205 8th Ave, New York, NY 10011-1617 | Nonresident Pharmacy | ~ |
| Walgreens Specialty Pharmacy | 1143 Highland Dr Ste D, Ann Arbor, MI 48108-5001 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2010-07-01 ~ 2011-06-30 |
| Prime Therapeutics Specialty Pharmacy LLC · Alliancerx Walgreens Prime #16567 | 2901 Kinwest Pkwy Suites 250, Irving, TX 75063-5816 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Prime Therapeutics Specialty Pharmacy LLC · Alliancerx Walgreens Prime #16568 | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 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).