MAGNOLIA SPECIALTY PHARMACY INC (Credential# 1176439) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
MAGNOLIA SPECIALTY PHARMACY INC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0002550. The credential type is nonresident pharmacy. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 16 Keystone Dr Ste B, Hattiesburg, MS 39402-6121. The current status is inactive.
| Licensee Name | MAGNOLIA SPECIALTY PHARMACY INC |
| Business Name | MAGNOLIA SPECIALTY PHARMACY INC |
| Credential ID | 1176439 |
| Credential Number | PCN.0002550 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
16 Keystone Dr Ste B Hattiesburg MS 39402-6121 |
| Business Type | CORPORATION |
| Status | INACTIVE |
| Issue Date | 2014-08-26 |
| Effective Date | 2018-09-01 |
| Expiration Date | 2019-08-31 |
| Refresh Date | 2018-12-06 |
| Street Address | 16 KEYSTONE DR STE B |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-6121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Auxilium Specialty Apothecary Pharmacy | 16 Keystone Dr Ste B, Hattiesburg, MS 39402-6121 | Nonresident Pharmacy | 2016-09-01 ~ 2017-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clayton Ware | 6631 Highway 98 Apt 4, Hattiesburg, MS 39402 | Registered Nurse - Temporary | 2019-11-20 ~ 2020-03-19 |
| Carla J Henry · Wolfe & Mehlman Real Estate | 41 Acadian Circle, Hattiesburg, MS 39402 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Marianne Chencharick | 7284 Hwy 98 W, Hattiesburg, MS 39402 | Registered Nurse | 1999-03-25 ~ 2000-05-31 |
| Beverly J Bough | 12a Suggs Road, Hattiesburg, MS 39402 | Registered Nurse | 2000-10-25 ~ 2001-10-31 |
| Alesia D Jones | 2306 Sunset Drive, Hattiesburg, MS 39402 | Registered Nurse | 2003-07-29 ~ 2004-08-31 |
| William J Hernandez | 411 S. 35th Avenue, Hattiesburg, MS 39402 | Registered Nurse | 2007-05-09 ~ 2007-11-30 |
| Janis K Nobles | 853 Richburg Rd#12, Hattiesburg, MS 39402 | Registered Nurse | 2001-08-20 ~ 2002-08-31 |
| Fredrika Y Ealy | 2749 Oak Grove Rd. #197, Hattiesburg, MS 39402 | Licensed Practical Nurse | 2000-06-20 ~ 2001-05-31 |
| Heather A Rifkin | 100 Wild Meadows, Hattiesburg, MS 39402 | Pharmacist | 2005-02-01 ~ 2006-01-31 |
| Magnolia Medical Supply Inc | 163 Turtle Creek Dr, Hattiesburg, MS 39402-1284 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-04-26 ~ 2019-06-30 |
| Find all Licenses in zip 39402 | |||
| City | HATTIESBURG |
| Zip Code | 39402 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + HATTIESBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Specialty Pharmacy Inc · Specialty Pharmacy, Inc. | 309b Henderson Drive, Sharon Hill, PA 19079 | Nonresident Pharmacy | 2002-09-01 ~ 2003-08-31 |
| Empire Specialty Pharmacy Corp · Garden State Specialty Pharmacy | 6509 Bergenline Ave, West New York, NJ 07093-1608 | Nonresident Pharmacy | 2017-09-01 ~ 2018-08-31 |
| 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 |
| Hci Specialty Pharmacy | 8320 Nw 30th Terrace, Miami, FL 33122 | Nonresident Pharmacy | 2007-09-01 ~ 2008-08-31 |
| Kroger Specialty Pharmacy Inc · Kroger Specialty Pharmacy Fl | 3200 Lake Emma Rd Unit 1000, Lake Mary, FL 32746-3358 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Caremark Florida Specialty Pharmacy LLC · Cvs/specialty | 7930 Woodland Center Blvd Ste 500, Tampa, FL 33614-2435 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Fpr Specialty Pharmacy LLC | 7910 Rae Blvd # C, Victor, NY 14564-8933 | Nonresident Pharmacy | 2014-09-01 ~ 2015-08-31 |
| F & M Specialty Pharmacy | 117 Luckney Station Rd, Flowood, MS 39232-8402 | Nonresident Pharmacy | 2019-11-21 ~ 2020-08-31 |
| Specialty Pharmacy | 4 Hook Rd, Sharon Hill, PA 19079 | Nonresident Pharmacy | 1999-10-05 ~ 2000-08-31 |
| Value Specialty Pharmacy | 1333 Plank Rd Ste 200, Duncansville, PA 16635-8456 | 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).