Last Updated:  12/22/2024 7:09:13 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

AXIUM HEALTHCARE PHARMACY, INC. 

License Number 

99-1142 

Type of Pharmacy

Non-Resident 

Address

550 TECHNOLOGY PARK, STE 1000

City, State, Zip 

LAKE MARY, FL  32746-7131

Country 

 

Issue Date 

12/21/2006 

Renewed Date

12/23/2016

Expiration Date 

12/31/2017 

End Date 

02/02/2017 

Replacing

99-975

Replaced By

99-7846

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

SIDDHARTH H. PATEL - 16542

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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