Last Updated: 4/19/2024 5:19:12 AM
Pharmacy
Detail
Corporation / Company Owner Name |
COSTCO WHOLESALE CORPORATION |
Business (DBA) Name |
COSTCO PHARMACY #1349 |
License Number |
99-8697 |
Type of Pharmacy |
Non-Resident |
Address |
260 LOGISTICS AVENUE STE A |
City, State, Zip |
JEFFERSONVILLE,
IN 47130 |
Country |
|
Issue Date |
05/22/2020 |
Renewed Date |
05/12/2023 |
Expiration Date |
05/31/2024 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
BENJAMIN BROWN - 18786 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|