Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
SOUTH COAST SPECIALTY COMPOUNDING, INC. |
Business (DBA) Name |
PARK COMPOUNDING |
License Number |
99-5968 |
Type of Pharmacy |
Non-Resident |
Address |
9257 RESEARCH DRIVE |
City, State, Zip |
IRVINE,
CA 92618 |
Country |
|
Issue Date |
05/23/2012 |
Renewed Date |
04/28/2014 |
Expiration Date |
05/31/2015 |
End Date |
02/19/2015 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
NADIA M. IBRAHIM - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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