License Details

Report Date: Saturday, April 20, 2024


License Information

License Number:
479420
Primary Owner:
GARFIELD BEACH CVS LLC
Office of Application:
03 - LB/LAKEWOOD

Business Name

CVS PHARMACY 9493

Business Address

12315 VENICE BLVD , LOS ANGELES, CA, 90066

County:
LOS ANGELES
Census Tract:
2719.02

Licensee Information

Licensee:
LONGS DRUG STORES CALIFORNIA LLC

Company Information

OFFICER: LONGS DRUG STORES LLC (MEMBER)

OFFICER: LANKOWSKY, ZENON (PRESIDENT)

OFFICER: CIMBRON, LINDA (SECRETARY/ASST SEC)

OFFICER: MOFFATT, THOMAS (SECRETARY/ASST SEC)

OFFICER: DENALE, CAROL ANN (VICE PRESIDENT/TREASURER)

STOCKHOLDER: LONGS DRUG STORES LLC

Licensee:
GARFIELD BEACH CVS LLC

Company Information

OFFICER: CVS PHARMACY INC (MANAGING MEMBER)

OFFICER: MOFFATT, THOMAS (PRESIDENT)

OFFICER: CIMBRON, LINDA (SECRETARY/ASST SEC)

OFFICER: DESOUSA, KIMBERLY MARIE (SECRETARY/ASST SEC)

OFFICER: LUKER, MELANIE (SECRETARY/ASST SEC)

OFFICER: BEAULIEU, SHEELAGH MARY (TREASURER)

OFFICER: DENALE, CAROL ANN (VICE PRESIDENT/TREASURER)

MEMBER: CVS PHARMACY INC


License Types

Allow up to six weeks for expiration date updates after fee waiver or renewal fee submittal.

21 - OFF-SALE GENERAL

License Type Status:
ACTIVE
Status Date:
02-SEP-2009
Term:
12 Month(s)
Original Issue Date:
02-SEP-2009
Expiration Date:
31-AUG-2024
Master:
Y
Duplicate:
0
Fee Code:
P40
Transfers:
From License Number: 21-439600
Transferred On: 02-SEP-2009

Operating Restrictions:

No Operating Restrictions found


Disciplinary Action:

No Active Disciplinary Action found


Disciplinary History:

Reg. Number:
11074696
Section:
25658 (A)
Section:
24200 (A&B)
Proceeding Status:
CLOSED
Decision:
SUSPEND
POIC/Fine:
3000

Holds:

No Active Holds found

Escrows:

No Escrow found

For definition of codes, view our glossary