Last Updated:  3/28/2024 7:06:16 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

AETNA RX HOME DELIVERY, LLC 

License Number 

99-1003 

Type of Pharmacy

Non-Resident 

Address

2528 NW 19TH ST

City, State, Zip 

POMPANO BEACH, FL  33069-5229

Country 

 

Issue Date 

08/26/2005 

Renewed Date

08/03/2012

Expiration Date 

08/31/2013 

End Date 

11/20/2012 

Replacing

Replaced By

99-6117

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

TOKUNBO KASSIM - 0

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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