License Verification

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WALGREEN CO. WALGREENS #04193

License Number: PH15534

Data As Of 11/26/2024

Profession
Pharmacy
License
PH15534
License Status
CLEAR/
Qualifications
Community Pharmacy
Schedule II & III
License Expiration Date
2/28/2025
License Original Issue Date
08/19/1997
Address of Record
1350 N WICKHAM RD
MELBOURNE, FL 32935
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
FORTENBERRY, ALICIA KIRAN RX DPT MGR/COR/POR Pharmacist 42567 02/25/2022

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/26/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.