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 |
99-1257 |
Type of Pharmacy |
Non-Resident |
Address |
11500 NW AMBASSADOR DR, 1ST FL |
City, State, Zip |
KANSAS CITY,
MO 64153-1151 |
Country |
|
Issue Date |
03/26/2008 |
Renewed Date |
03/01/2012 |
Expiration Date |
03/31/2013 |
End Date |
10/05/2012 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JOHN P. DEHAEMERS - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|