Last Updated:  12/22/2024 7:09:13 PM

Pharmacy Detail                               

Corporation / Company Owner Name

CVS CAREMARK ADVANCED TECHNOLOGY PHARMACY, LLC. 

Business (DBA) Name  

CVS/CAREMARK OR INGENIORX HOME DELIVERY 

License Number 

99-9299 

Type of Pharmacy

Non-Resident 

Address

1780 WALL ST

City, State, Zip 

MT PROSPECT, IL  60056

Country 

 

Issue Date 

08/16/2022 

Renewed Date

08/17/2022

Expiration Date 

08/31/2023 

End Date 

02/17/2023 

Replacing

99-6176

Replaced By

99-9395

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JOSHUA ANDERSEN - 17379

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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