SAM'S CLUB #10-8195 (Credential# 317495) is licensed (Non Legend Drug Permit) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
SAM'S CLUB #10-8195 is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PME.0006667. The credential type is non legend drug permit. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 69 Pavilion Dr, Manchester, CT 06042-8702. The current status is inactive.
| Licensee Name | SAM'S CLUB #10-8195 |
| Business Name | SAM'S CLUB #10-8195 |
| Credential ID | 317495 |
| Credential Number | PME.0006667 |
| Credential Type | NON LEGEND DRUG PERMIT |
| Business Address |
69 Pavilion Dr Manchester CT 06042-8702 |
| Business Type | CORPORATION |
| Status | INACTIVE |
| Effective Date | 2019-01-01 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2018-11-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 317494 | PCY.0001814 | PHARMACY | 2002-08-29 | 2017-09-01 - 2018-08-31 | INACTIVE |
| Street Address | 69 PAVILION DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sams Club #8195 | 69 Pavilion Dr, Manchester, CT 06042-8702 | Retail Dairy Store | 2017-07-01 ~ 2019-06-30 |
| Sam's Club Vision Center 8195 | 69 Pavilion Dr, Manchester, CT 06042-8702 | Optical Selling Permit | 2017-09-01 ~ 2018-01-26 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ruby Huang · Manchester Homewood Suites | 109 Pavilion Dr, Manchester, CT 06042-8702 | Hotel Liquor (50000 Or More Population) | 2019-11-12 ~ 2020-11-11 |
| Edge Fitness Clubs (the) | 59 Pavilion Dr, Manchester, CT 06042-8702 | Health Club | 2019-10-01 ~ 2020-09-30 |
| Jignesh N Patel · Manchester Homewood Suites | 109 Pavilion Dr, Manchester, CT 06042-8702 | Hotel Liquor (50000 Or More Population) | 2020-06-09 ~ 2020-09-07 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | NON LEGEND DRUG PERMIT |
| License Type + County | NON LEGEND DRUG PERMIT + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sam's Club Vision Center 8195 | 69 Pavilion Dr, Manchester, CT 06042-8702 | Optical Selling Permit | 2017-09-01 ~ 2018-01-26 |
| Sams Club #8195 | 69 Pavilion Dr, Manchester, CT 06042-8702 | Retail Dairy Store | 2017-07-01 ~ 2019-06-30 |
| Hybridol Q 25.20 Ndc: 8195 | 400 Frontage Rd, West Haven, CT 06516 | Medical Marijuana Producer Brand Registration | 2020-01-15 ~ |
| Sam's Club #6636 · Wal-mart Stores Inc | 245 Wilbur Cross Hwy, Berlin, CT 06037 | Non Legend Drug Permit | 1997-01-01 ~ 1997-12-31 |
| Sam's Club #6636 | 3465 Berlin Tpke, Newington, CT 06111-5106 | Non Legend Drug Permit | 2020-01-01 ~ 2020-12-31 |
| Price Club | Attn Licensing, Issaquah, WA 98027 | Non Legend Drug Permit | 1996-01-01 ~ 1996-12-31 |
| Sam's Club #10-6442 | 2 Boston Post Rd, Orange, CT 06477-3201 | Non Legend Drug Permit | 2018-01-01 ~ 2018-12-31 |
| Smoker's Club | 644 N Main St, Torrington, CT 06790 | Non Legend Drug Permit | 2003-03-19 ~ 2003-12-31 |
| Aetna Life Club Store | 575 Pidgeon Hill Road, Windsor, CT 06095 | Non Legend Drug Permit | 1996-01-01 ~ 1996-12-31 |
| 14 Club of Willimantic Inc | 41 Club Rd, Windham, CT 06280-1007 | Sealed Ticket Permit Club/bar | 2011-08-26 ~ 2011-12-31 |
Please comment or provide details below to improve the information on SAM'S CLUB #10-8195.
| 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).