REVIVAL PHARMACY LLC (Credential# 1388145) 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.
REVIVAL PHARMACY LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0003191. The credential type is nonresident pharmacy. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 5369 Kings Highway, Brooklyn, NY 11203. The current status is inactive.
| Licensee Name | REVIVAL PHARMACY LLC |
| Business Name | REVIVAL PHARMACY LLC |
| Credential ID | 1388145 |
| Credential Number | PCN.0003191 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
5369 Kings Highway Brooklyn NY 11203 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | INACTIVE |
| Issue Date | 2016-12-14 |
| Effective Date | 2018-09-01 |
| Expiration Date | 2019-08-31 |
| Refresh Date | 2018-12-07 |
| Street Address | 5369 KINGS HIGHWAY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darlene D Maxis | 491 East 52nd Street, Brooklyn, NY 11203 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michelle Watt | 550 East 56th, Brooklyn, NY 11203 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
| Cassis Guy | 450 Clarkson Avenue #1228, Brooklyn, NY 11203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick Anthony Gordon | 814 Maple Street, Brooklyn, NY 11203 | Tax Preparer/facilitator Permit | 2020-02-24 ~ 2022-02-28 |
| Bernard L Mcburnie | 455 Schenectady Ave Apt #2m, Brooklyn, NY 11203 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Lois Thompson | 715 East 39th. Street, Brooklyn, NY 11203 | Master's Level Social Worker | 2019-12-01 ~ 2020-11-30 |
| Edward R Heilman | Suny Downstate Medical Center, Dept of Dermatology, Brooklyn, NY 11203 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Vashanti Drigo | 245 E56 St, Brooklyn, NY 11203 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Evens Castellan | 240 E. 55th Street, Brooklyn, NY 11203 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Ali Nujaidi | 585 Schenectady Avenue, Katz Building 4th Floor, Brooklyn, NY 11203 | Physician/surgeon | 2018-07-09 ~ 2019-03-31 |
| Find all Licenses in zip 11203 | |||
| City | BROOKLYN |
| Zip Code | 11203 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Revival Animal Health | 1700 Albany Pl Se, Orange City, IA 51041-9680 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Revival Brewing Company | 95 Chestnut St Fl 3, Providence, RI 02903-4161 | Out of State Shipper Beer | 2019-04-17 ~ 2020-04-16 |
| Cvs Pharmacy · Cvs Pharmacy Central Pharmacy Services | 25 Blackstone Valley Pl, Lincoln, RI 02865-1184 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Revival Renovations LLC | 392 Brett Rd, Fairfield, CT 06824 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Revival Homes LLC | 237 Niles Rd, New Hartford, CT 06057 | Home Improvement Contractor | 2020-01-08 ~ 2020-11-30 |
| Vc Pharmacy Inc · Rite Care Pharmacy Iv | 3453 Saint Francis Ave, Dallas, TX 75228-7199 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Asc Pharmacy Inc · Asc Specialty Pharmacy | 3416 W 84th St Ste 108a, Hialeah, FL 33018-4933 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Revival Promotions Inc | Po Box 388, Grafton, MA 01519 | Managing Itinerant Vendor | 1999-12-31 ~ 2000-12-30 |
| Slv Pharmacy Inc · Valley Pharmacy | 107 State Route 10 E, Succasunna, NJ 07876-1430 | Nonresident Pharmacy | ~ |
| R & B Pharmacy Inc · Clark's Pharmacy | 36889 N Tom Darlington Rd, Carefree, AZ 85377 | 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).