Last Updated: 12/21/2024 7:07:07 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 |
|
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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that column.
No Disciplinary
Action |
|
|