Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
HUMANA PHARMACY |
Business (DBA) Name |
INDEPENDENCE MEDICAL CENTER |
License Number |
99-48 |
Type of Pharmacy |
Non-Resident |
Address |
3445 S M-291 HWY |
City, State, Zip |
INDEPENDENCE,
MO 64057 |
Country |
|
Issue Date |
10/31/1994 |
Renewed Date |
06/04/1996 |
Expiration Date |
|
End Date |
09/30/1996 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
- 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|