OPTUM PHARMACY 704, INC. (Credential# 453568) 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.
OPTUM PHARMACY 704, INC. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0000824. The credential type is nonresident pharmacy. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 5627 University Hts Ste 108, San Antonio, TX 78249-3583. The current status is active.
| Licensee Name | OPTUM PHARMACY 704, INC. |
| Business Name | OPTUM PHARMACY 704, INC. |
| Credential ID | 453568 |
| Credential Number | PCN.0000824 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
5627 University Hts Ste 108 San Antonio TX 78249-3583 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-02-28 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2020-03-24 |
| Street Address | 5627 UNIVERSITY HTS STE 108 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-3583 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheryl A Giles | 6130 Cloverwood Street, San Antonio, TX 78249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sandra Jean Martinez | 4502 Spotted Oak Woods, San Antonio, TX 78249 | Registered Nurse | 2017-02-08 ~ 2018-02-28 |
| Kristina A Paddock | 11331candle Park, San Antonio, TX 78249 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| Valero Marketing and Supply Company | One Valero Way, San Antonio, TX 78249 | Motor Fuel Quality Registration | 2012-11-01 ~ 2013-10-31 |
| Paula L Miller | 11902 Mesquite Mesa, San Antonio, TX 78249 | Licensed Practical Nurse | 2011-12-01 ~ 2012-11-30 |
| Amy L Crabtree | 12319 Capeswood, San Antonio, TX 78249 | Registered Nurse | 2010-04-01 ~ 2011-03-31 |
| Mary A Manwell-jackson · Manwell | 5310 Auburn Ridge, San Antonio, TX 78249 | Dental Hygienist | 2009-01-05 ~ 2009-12-31 |
| Maureen E Hancock | 10926 Rindle Ranch, San Antonio, TX 78249 | Registered Nurse | 2008-09-05 ~ 2009-09-30 |
| Cheryl L Morris | 4822 Loyola, San Antonio, TX 78249 | Registered Nurse | 2008-06-19 ~ 2009-06-30 |
| Paulette R Melonson | 6011 Hart Cove, San Antonio, TX 78249 | Registered Nurse | 2007-02-05 ~ 2008-02-29 |
| Find all Licenses in zip 78249 | |||
| City | SAN ANTONIO |
| Zip Code | 78249 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + SAN ANTONIO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Optum Pharmacy 703, LLC | 8350 Briova Drive, Las Vegas, NV 89113 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Optum Pharmacy 702, LLC | 1050 Patrol Rd, Jeffersonville, IN 47130-7750 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Optum Pharmacy 705, LLC | 1100 Lee Branch Ln, Birmingham, AL 35242-7298 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Optum Pharmacy 601, LLC | 1070 E Brandon Blvd, Brandon, FL 33511-5509 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Optum Infusion Services 305, LLC | 15529 College Blvd, Lenexa, KS 66219-1351 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Optum Infusion Services 500, Inc. | 19 Chapin Rd Bldg D Ste D7, Pine Brook, NJ 07058-9385 | Nonresident Pharmacy | 2019-08-27 ~ 2020-08-31 |
| Optum Infusion Services 103, LLC | 9204 Berger Rd Ste A, Columbia, MD 21046-1729 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Optum Infusion Services 101 Inc | 931 Conklin St Ste D, Farmingdale, NY 11735-2429 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Optum Infusion Services 500 Inc. | 33 N Plains Industrial Rd Ste B, Wallingford, CT 06492-5841 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Cvs Pharmacy · Cvs Pharmacy Central Pharmacy Services | 25 Blackstone Valley Pl, Lincoln, RI 02865-1184 | 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).