Last Updated: 12/27/2024 10:12:16 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
INTRATHECAL COMPOUNDING SPECIALISTS, LLC |
License Number |
99-1472 |
Type of Pharmacy |
Non-Resident |
Address |
206 JACOB'S RUN, STE A |
City, State, Zip |
SCOTT,
LA 70583-8907 |
Country |
|
Issue Date |
02/08/2010 |
Renewed Date |
01/29/2016 |
Expiration Date |
02/28/2017 |
End Date |
05/18/2016 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
STUART H. BURGESS - 15839 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|