License Details

License Information

License Number:

479525

Primary Owner:

GARFIELD BEACH CVS LLC

Office of Application:

11 - SANTA ANA

Business Name

CVS PHARMACY 9552

Business Address

27702 CROWN VALLEY PKWY STE I, LADERA RANCH, CA, 92694

County:

ORANGE

Census Tract:

0320.57

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:

04-APR-2023

Term:

12 Month(s)

Original Issue Date:

09-SEP-2009

Expiration Date*:

31-AUG-2025

Master:

Y

Duplicate:

0

Fee Code:

P0

Transfers:

From License Number: 21-439304
Transferred On: 09-SEP-2009
To License Number: 21-629288

Operating Restrictions:

*Operating Restrictions exist. For more information, please see our Guidelines for Access to Records.

Disciplinary Action:

No Active Disciplinary Action found

Disciplinary History:

No Disciplinary History found.

Holds:

No Active Holds found

Escrows:

No Escrow found