Last Updated: 12/24/2024 5:22:34 AM
Facility DetailCorporation / Company Owner Name | FORUM PRODUCTS |
Business (DBA) Name | SOURCE PHARMA |
License Number | 88-W-1471 |
Facility Type | Wholesale Distributor |
Address |
33 FLYING POINT RD |
City, State, Zip | SOUTHAMPTON,NY 11968-5248 |
Country | |
Issue Date | 07/18/2005 |
Renewed Date | 06/14/2006 |
Expiration Date | 07/31/2007 |
Renewal Month | |
End Date | 08/31/2007 |
Status | CLOSED |
In Process? | |
Disciplinary
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