Last Updated: 4/26/2024 7:08:31 PM
Pharmacy
Detail
Corporation / Company Owner Name |
PHARMBLUE LLC |
Business (DBA) Name |
AVITA PHARMACY 1059 |
License Number |
99-8956 |
Type of Pharmacy |
Non-Resident |
Address |
40 PENNWOOD PLACE SUITE 300 |
City, State, Zip |
WARRENDALE,
PA 15086 |
Country |
|
Issue Date |
05/10/2021 |
Renewed Date |
04/07/2023 |
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 |
ANNA ELIZABETH O'TOOLE - 20349 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|