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

99-7632

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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Case Date  

Case Number  

No Disciplinary Action 

 

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