Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
SOUTHGATE IGA PHARMACY |
License Number |
99-1219 |
Type of Pharmacy |
Non-Resident |
Address |
1620 S SCHOOL PO BOX 1682 |
City, State, Zip |
FAYETTEVILLE,
AR 72702-1682 |
Country |
|
Issue Date |
10/10/2007 |
Renewed Date |
10/12/2007 |
Expiration Date |
10/31/2008 |
End Date |
10/31/2008 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
PHILLIP ROZELL - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|