License Details

License Information

License Number:

477770

Primary Owner:

GARFIELD BEACH CVS LLC

Office of Application:

25 - SAN JOSE

Business Name

CVS PHARMACY STORE 9172

Business Address

11 EL CAMINO REAL , SAN CARLOS, CA, 94070

County:

SAN MATEO

Census Tract:

6092.02

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

21 - OFF-SALE GENERAL

License Type Status:

SURRENDERED

Status Date:

20-DEC-2023

Term:

12 Month(s)

Original Issue Date:

22-JUN-2009

Expiration Date*:

31-MAY-2025

Master:

Y

Duplicate:

0

Fee Code:

P20

Transfers:

From License Number: 21-100278
Transferred On: 22-JUN-2009
To License Number: 21-660765

Operating Restrictions:

No Operating Restrictions found

Disciplinary Action:

No Active Disciplinary Action found

Disciplinary History:

Reg. Number:

22091841

Section:

25658 (A)

Proceeding Status:

CLOSED

Decision:

ALL STAYED

Suspension Days:

10

Stayed Days:

10

Holds:

No Active Holds found

Escrows:

No Escrow found