KMART PHARMACY #4967 (Credential# 177957) is licensed (Non Legend Drug Permit) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2003. The license expiration date date is December 31, 2003. The license status is INACTIVE.
KMART PHARMACY #4967 is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PME.0005218. The credential type is non legend drug permit. The effective date is January 1, 2003. The expiration date is December 31, 2003. The business address is 844 North Colony Road, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | KMART PHARMACY #4967 |
| Business Name | KMART PHARMACY #4967 |
| Credential ID | 177957 |
| Credential Number | PME.0005218 |
| Credential Type | NON LEGEND DRUG PERMIT |
| Business Address |
844 North Colony Road Wallingford CT 06492 |
| Business Type | CORPORATION |
| Status | INACTIVE - NOT ELIGIBLE FOR REINSTATEMENT |
| Effective Date | 2003-01-01 |
| Expiration Date | 2003-12-31 |
| Refresh Date | 2018-07-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 140345 | PCY.0001572 | PHARMACY | 2002-09-01 - 2003-02-03 | INACTIVE | |
| 140349 | PME.0005140 | NON LEGEND DRUG PERMIT | - 1996-12-31 | INACTIVE |
| Street Address | 844 NORTH COLONY ROAD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | NON LEGEND DRUG PERMIT |
| License Type + County | NON LEGEND DRUG PERMIT + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Super Kmart Center #4967 | 844 N Colony Rd, Wallingford, CT 06492 | Tv & Radio Dealer | 2002-09-01 ~ 2003-08-31 |
| Super Kmart Center · Kmart Corp #4967 Dba | 844 North Colony Rd, Wallingford, CT 06992 | Bakery | 2002-07-01 ~ 2003-06-30 |
| Kmart Pharmacy #3988 | 44 Providence Pike, Putnam, CT 06260 | Non Legend Drug Permit | 1995-10-03 ~ 1996-12-31 |
| Kmart #4929 · Kmart Corporation | 315 Foxon Blvd, New Haven, CT 06513 | Non Legend Drug Permit | 2003-01-01 ~ 2003-12-31 |
| Big Kmart #7790 · Kmart Corporation | I 84 & Route 72, Plainville, CT 06062 | Non Legend Drug Permit | 2003-01-01 ~ 2003-12-31 |
| Big Kmart #7790 · Kmart Corporation | I84 & Route 72, Plainville, CT 06062 | Non Legend Drug Permit | 2001-01-01 ~ 2001-12-31 |
| Big Kmart #9410 · Kmart Corporation | 121 Farmington Ave, Bristol, CT 06010 | Non Legend Drug Permit | 2002-01-01 ~ 2002-12-31 |
| Kmart #7729 | 1075 Kennedy Road, Windsor, CT 06095 | Non Legend Drug Permit | 2003-01-01 ~ 2003-12-31 |
| Kmart #9171 | 188 Silas Deane Hwy, Wethersfield, CT 06109 | Non Legend Drug Permit | 1997-01-01 ~ 1997-12-31 |
| Kmart 3988 | 44 Providence Pike, Putnam, CT 06260-2410 | Non Legend Drug Permit | 2016-01-01 ~ 2016-12-31 |
Please comment or provide details below to improve the information on KMART PHARMACY #4967.
| 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).