License holder summary

THEODORE WALLACE VLASSIS is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for THEODORE WALLACE VLASSIS is MOUNTVILLE PA 17554. This licensed professional license is current. The license was granted 05/09/2008 and expired on 09/30/2016.

Pennsylvania

Department of State

THEODORE WALLACE VLASSIS
Pharmacy - Authorization to Administer Injectables
License number
RPI000717
Date granted
05/09/2008
Date expires
09/30/2016
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
MOUNTVILLE PA 17554
palicensing.org
ID 17033180
LAST UPDATED 2026-06-02 16:41:47 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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