License Details

License Information

License Number:

535799

Primary Owner:

GARFIELD BEACH CVS LLC

Office of Application:

04 - LA/METRO

Business Name

CVS PHARMACY #10292

Business Address

4030 S WESTERN AVE , LOS ANGELES, CA, 90062

County:

LOS ANGELES

Census Tract:

2315.00

Licensee Information

Licensee:

LONGS DRUG STORES CALIFORNIA 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

21 - OFF-SALE GENERAL

License Type Status:

ACTIVE

Status Date:

16-JAN-2014

Term:

12 Month(s)

Original Issue Date:

15-JAN-2014

Expiration Date:

31-DEC-2024

Master:

Y

Duplicate:

0

Fee Code:

P40

Transfers:

From License Number: 21-409817
Transferred On: 15-JAN-2014

Operating Restrictions:

No Operating Restrictions found

Disciplinary Action:

No Active Disciplinary Action found

Disciplinary History:

Reg. Number:

16084583

Section:

25658(A)

Proceeding Status:

CLOSED

Decision:

POIC

POIC/Fine:

3000

Holds:

No Active Holds found

Escrows:

No Escrow found