MEDSOURCE RX PHARMACY
Nonresident Pharmacy


Address: 9883 So. 500 W, Sandy, VT 84020

MEDSOURCE RX PHARMACY (Credential# 948130) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.

Business Overview

MEDSOURCE RX PHARMACY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0002201. The credential type is nonresident pharmacy. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 9883 So. 500 W, Sandy, VT 84020. The current status is inactive.

Basic Information

Licensee Name MEDSOURCE RX PHARMACY
Business Name MEDSOURCE RX PHARMACY
Credential ID 948130
Credential Number PCN.0002201
Credential Type NONRESIDENT PHARMACY
Business Address 9883 So. 500 W
Sandy
VT 84020
Business Type CORPORATION
Status INACTIVE
Issue Date 2010-08-25
Effective Date 2013-09-01
Expiration Date 2014-08-31
Refresh Date 2014-05-20

Office Location

Street Address 9883 SO. 500 W
City SANDY
State VT
Zip Code 84020

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John Cavallo Via Bisigliano 13, Colliano Sa, 84020 Hairdresser/cosmetician 2012-08-01 ~ 2014-07-31
Alissa L Chow-firmage 266 E. Red Leaf Dr., Draper, UT 84020 Registered Nurse 2011-04-01 ~ 2012-03-31
Kathleen M Francis 11441 S. Mayberry Ct, Draper, UT 84020 Registered Nurse 1998-12-08 ~ 1999-12-31
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Michael L Cohen Po Box 849, Draper, UT 84020-0849 Optometrist 2010-06-07 ~ 2011-02-28
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East Ridge Rx LLC 12176 S 1000 E Ste 2, Draper, UT 84020-3221 Nonresident Pharmacy 2018-09-01 ~ 2019-08-31
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Competitor

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City SANDY
Zip Code 84020
License Type NONRESIDENT PHARMACY
License Type + County NONRESIDENT PHARMACY + SANDY

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Dataset Information

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).

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