BOUDREAUX'S SPECIALTY COMPOUNDING (Credential# 483916) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.
BOUDREAUX'S SPECIALTY COMPOUNDING is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0000904. The credential type is nonresident pharmacy. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 2551 Greenwood Rd Ste 110, Shreveport, LA 71103. The current status is inactive.
| Licensee Name | BOUDREAUX'S SPECIALTY COMPOUNDING |
| Business Name | BOUDREAUX'S SPECIALTY COMPOUNDING |
| Credential ID | 483916 |
| Credential Number | PCN.0000904 |
| Credential Type | NONRESIDENT PHARMACY |
| Business Address |
2551 Greenwood Rd Ste 110 Shreveport LA 71103 |
| Business Type | CORPORATION |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2007-11-02 |
| Effective Date | 2013-09-01 |
| Expiration Date | 2014-08-31 |
| Refresh Date | 2014-07-29 |
| Street Address | 2551 GREENWOOD RD STE 110 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Husein Imtiaz Poonawala | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | Physician/surgeon | 2019-10-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Morris & Dickson Co LLC | 10301 Hwy 1 South, Shreveport, LA 71115 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Kristina K Prestridge | 1925 E 70th St #52482, Shreveport, LA 71105-0002 | Registered Nurse | 2020-05-01 ~ 2020-12-31 |
| Phyllis T Lambert | 111 Palladium Lane, Shreveport, LA 71115 | Professional Counselor | 2020-05-01 ~ 2021-04-30 |
| Matthew Lamar Mcinnis | 6104 Ambleside St, Shreveport, LA 71129-3410 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Sarah Hope Laramie | 333 Texas Street #1900, Shreveport, LA 71101 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Sealy Industrial Partners, Lp | 333 Texas Street, Shreveport, LA 71101 | Securities - Exemptions | 2019-12-26 ~ |
| Stancy T Coleman | 8055 Captain Mary Miller Dr, Shreveport, LA 71115-2948 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Secor Upson | 8700 Millicent Way Apt 711, Shreveport, LA 71115-2254 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Sanjay R Jain | 302 Peach Drive, Shreveport, LA 71106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Veronica Choyce | 3802 Oakcrest Lane, Shreveport, LA 71109 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Find all Licenses in SHREVEPORT | |||
| City | SHREVEPORT |
| Zip Code | 71103 |
| License Type | NONRESIDENT PHARMACY |
| License Type + County | NONRESIDENT PHARMACY + SHREVEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Specialty Compounding LLC | 211 S Bell Blvd, Cedar Park, TX 78613-2909 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Innovo Specialty Compounding Solutions | 162 Summerhill Rd Ste D, East Brunswick, NJ 08816-4929 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Physician Specialty Compounding By Sunlake Pharmacy | 18964 N Dale Mabry Hwy Ste 102, Lutz, FL 33548-4913 | Nonresident Pharmacy | 2014-09-01 ~ 2015-08-31 |
| Compounding Facility (the) · Delco Drugs & Specialty Pharmarcy | 3845 Richmond Ave Ste 2b, Staten Island, NY 10312-3830 | Nonresident Pharmacy | ~ |
| South Coast Specialty Compunding Inc · Park Compounding | 9257 Research Dr, Irvine, CA 92618-4286 | Nonresident Pharmacy | ~ |
| Custom Compounding Center · Pharmacy Compounding Ventures, LLC | 904 Autumn Road, Little Rock, AR 72211 | Nonresident Pharmacy | 2001-08-07 ~ 2002-08-31 |
| Hm Compounding | 558 Kennedy Blvd, Bayonne, NJ 07002-2620 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Hm Compounding | 2478 Mcdonald Ave, Brooklyn, NY 11223-5233 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Specialty Pharmacy Inc · Specialty Pharmacy, Inc. | 309b Henderson Drive, Sharon Hill, PA 19079 | Nonresident Pharmacy | 2002-09-01 ~ 2003-08-31 |
| Mcguff Compounding Pharmacy Svcs Inc | 2921 W Macarthur Blvd Suite 142, Santa Ana, CA 92704 | 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).