License Details

Report Date: Thursday, May 02, 2024


License Information

License Number:
606106
Primary Owner:
GARFIELD BEACH CVS LLC
Office of Application:
06 - BAKERSFIELD

Business Name

CVS PHARMACY #3825

Business Address

835 WILSHIRE BLVD , LOS ANGELES, CA, 90017

County:
LOS ANGELES
Census Tract:
2077.10

Licensee Information

Licensee:
LONGS DRUG STORES CALIFORNIA LLC

Company Information

OFFICER: LONGS DRUG STORES LLC (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: CLARK, JEFFREY EDWARD (TREASURER)

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

MEMBER: 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:
WITHDRAWN
Status Date:
22-JUL-2021
Term:
12 Month(s)
Original Issue Date:
Expiration Date:
Master:
Y
Duplicate:
Fee Code:
P40
Transfers:
From License Number: 21-515855

Operating Restrictions:

No Operating Restrictions found


Disciplinary Action:

No Active Disciplinary Action found


Disciplinary History:

No Disciplinary History found.


Holds:

Hold Type:
FORM 220
Hold Date:
13-MAY-2019

Escrows:

No Escrow found

For definition of codes, view our glossary