Delaware
Division of Professional Regulation
Prodigy Health Supplier Corporation
Pharmacy - Pharmacy Wholesale
License number
A4-0001260
Date granted
10/29/2004
Date expires
09/30/2006
Class
Pharmacy - Pharmacy Wholesale
Status
Lapsed
Address
Austin TX 78744
delawarelicensing.com
ID 20526046
LAST UPDATED 2026-05-25 20:52:32 UTC
LAST UPDATED 2026-05-25 20:52:32 UTC
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