Last Updated:  12/28/2024 5:21:34 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

IBA MOLECULAR NORTH AMERICA, INC. 

License Number 

99-5937 

Type of Pharmacy

Non-Resident 

Address

8614 NW 107TH TER

City, State, Zip 

KANSAS CITY, MO  64153

Country 

 

Issue Date 

04/05/2012 

Renewed Date

04/28/2014

Expiration Date 

04/30/2015 

End Date 

05/31/2015 

Replacing

99-1434

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

BEHAILU DESTA - 0

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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