LAKEFOREST PHARMACY (Credential# 1471420) 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.
LAKEFOREST PHARMACY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0003433. The credential type is nonresident pharmacy. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 950 Corporate Pkwy Ste 104, Wentzville, MO 63385-4851. The current status is active.
| Licensee Name | LAKEFOREST PHARMACY |
| Business Name | LAKEFOREST PHARMACY |
| Credential ID | 1471420 |
| Credential Number | PCN.0003433 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
950 Corporate Pkwy Ste 104 Wentzville MO 63385-4851 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-03-23 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-07-09 |
| Street Address | 950 CORPORATE PKWY STE 104 |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-4851 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Burkhart | 801 Peruque Court, Wentzville, MO 63385 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Donna A Peters | 1325 Forest Way, Wentzville, MO 63385 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Heather Renae Holmes | 203 Prairie Lake Drive, Wentzville, MO 63385 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jordan Elizabeth Lampe | 11018 Stonebridge Ln, Wentzville, MO 63385 | Registered Nurse | 2019-10-24 ~ 2020-09-30 |
| Rebecca Lynn Rollins-hogue | 3708 Bear Creek Bluff Ct, Wentzville, MO 63385 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jennifer Leigh Rafert | 303 E Maple St, Wentzville, CT 63385 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Nancy Trebilcock | 690 Bethany Lane, Wentzille, MO 63385 | Registered Nurse | 2008-11-18 ~ 2009-05-31 |
| Kavetta J Freese | 929 Lindmark Drive, Wentzville, MO 63385 | Radiographer | 2006-06-08 ~ 2007-06-30 |
| Katsuhiko Berryhill | 217 Schmittgens Drive, Wentzville, MO 63385 | Registered Nurse | 2006-02-01 ~ 2007-02-28 |
| Patricia A Madden | 2223 Autumn Trace Parkway, Wentzville, MO 63385 | Registered Nurse | 2005-11-07 ~ 2006-12-31 |
| Find all Licenses in zip 63385 | |||
| City | WENTZVILLE |
| Zip Code | 63385 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + WENTZVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cvs Pharmacy · Cvs Pharmacy Central Pharmacy Services | 25 Blackstone Valley Pl, Lincoln, RI 02865-1184 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| 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 |
| Az Pharmacy LLC · Amazon Pharmacy #002 | 3809 E Watkins St, Phoenix, AZ 85034-7264 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| R & B Pharmacy Inc · Clark's Pharmacy | 36889 N Tom Darlington Rd, Carefree, AZ 85377 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Mah Pharmacy LLC · Chd Pharmacy | 4600 N Hanley Rd Ste C, Saint Louis, MO 63134-2715 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Mn Pharmacy LLC · Amazon Pharmacy #003 | 8725 Nw 13th Ter, Doral, FL 33172-3013 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Mah Pharmacy LLC · Chd Pharmacy | 6225 Annie Oakley Dr Ste 300, Las Vegas, NV 89120-3914 | Nonresident Pharmacy | 2014-09-01 ~ 2015-08-31 |
| Slv Pharmacy Inc · Valley Pharmacy | 107 State Route 10 E, Succasunna, NJ 07876-1430 | Nonresident Pharmacy | ~ |
| A.e. Pharmacy, LLC · Amazon Pharmacy #001 | 220 Industrial Blvd Ste 100, Austin, TX 78745-1276 | 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).