Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
CORAM ALTERNATE SITE SERVICES, INC. |
Business (DBA) Name |
CORAM SPECIALTY INFUSION SERVICES |
License Number |
99-5974 |
Type of Pharmacy |
Non-Resident |
Address |
AN APRIA HEALTHCARE COMPANY 1519 S BOWMAN RD, STE C |
City, State, Zip |
LITTLE ROCK,
AR 72211-4228 |
Country |
|
Issue Date |
05/24/2012 |
Renewed Date |
04/25/2013 |
Expiration Date |
05/31/2014 |
End Date |
05/29/2014 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
COURTNEY HANNON - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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