KEITH A EDWARDS (Credential# 1448331) is licensed (Pharmacy Intern) with Connecticut Department of Consumer Protection. The license effective date is September 5, 2017. The license expiration date date is September 30, 2021. The license status is ACTIVE.
KEITH A EDWARDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCI.0008759. The credential type is pharmacy intern. The effective date is September 5, 2017. The expiration date is September 30, 2021. The business address is 5 Rogue Dr, Westport, MA 02790-4365. The current status is active.
| Licensee Name | KEITH A EDWARDS |
| Credential ID | 1448331 |
| Credential Number | PCI.0008759 |
| Credential Type | PHARMACY INTERN |
| Business Address |
5 Rogue Dr Westport MA 02790-4365 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-09-05 |
| Effective Date | 2017-09-05 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2017-09-08 |
| Street Address | 5 ROGUE DR |
| City | WESTPORT |
| State | MA |
| Zip Code | 02790-4365 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle L Costa | 109 Jillian Way, Westport, MA 02790 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Trevor Jeffery Sullivan | 3 Devol Ave, Westport, MA 02790 | Registered Nurse | 2020-03-18 ~ 2021-02-28 |
| Kenneth Decosta | 26 Sandpiper Dr, Westport, MA 02790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Patrick H. Carroll | 126 Meadowbrook Ln, Westport, MA 02790 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Deborah M Oliveira | 15 Michaud Street, Westport, MA 02790 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Joseph S Medeiros | 133 Plymouth Blvd, Westport, MA 02790 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Jason E Theriault | 40 Morning Dove Dr, Westport, MA 02790 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Daniel Joseph Sousa | 29 Old County Rd, Westport, MA 02790 | Crane Operator | ~ |
| Ricardo L Sanchez | 154 Brayton Point Road, Westport, MA 02790 | Controlled Substance Registration for Practitioner | 2017-10-11 ~ 2019-02-28 |
| Edward A Zane Md | 41 Devol Ave, Westport, MA 02790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 02790 | |||
| City | WESTPORT |
| Zip Code | 02790 |
| License Type | PHARMACY INTERN |
| License Type + County | PHARMACY INTERN + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edwards Pharmacy #295 · Edwards Pharmacy #1695 | 35 Talcottville Rd, Vernon, CT 06066-5261 | Pharmacy | 1996-12-02 ~ 1997-08-31 |
| Samantha C Edwards | 10 Regency Dr, Bloomfield, CT 06002-1813 | Pharmacy Intern | 2016-08-25 ~ 2020-09-30 |
| Ratna Edwards | 22 North St, Wolcott, CT 06716-1333 | Pharmacy Intern | 2018-03-12 ~ 2020-09-30 |
| Kimberly Edwards | 308 Swift Road, Whitinsville, MA | Pharmacy Intern | 2001-09-06 ~ 2005-09-30 |
| Keith J Dunn | 46 Oak Lane Extension, Stonington, CT 06378 | Pharmacy Intern | 2004-05-17 ~ 2008-09-30 |
| Keith J Olin | 6 Gene Drive, Huntington, CT 06484 | Pharmacy Intern | 1994-08-23 ~ 1997-09-30 |
| Keith D Bennett | 55 Sharp Hill Rd, Uncasville, CT 06382-2035 | Pharmacy Intern | 2011-06-08 ~ 2014-09-15 |
| Edwards Pharmacy #704 · First Nat Sprmrkts Inc | W Main St Rte 44, Avon, CT 06001 | Pharmacy | 1996-09-01 ~ 1997-08-31 |
| Gem Edwards Pharmacy | 5640 Hudson Industrial Pkwy, Hudson, OH 44236-5011 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Edwards Pharmacy #749 | 60 Cantor Dr, Willimantic, CT 06226-1154 | Pharmacy | 1996-10-29 ~ 1997-08-31 |
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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).