Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
AVELLA OF DEER VALLEY INC |
License Number |
99-6059 |
Type of Pharmacy |
Non-Resident |
Address |
23620 N 20TH DR STE 12 ATTN: TERI KINZLE, LICENSING |
City, State, Zip |
PHOENIX,
AZ 85085 |
Country |
|
Issue Date |
09/18/2012 |
Renewed Date |
08/22/2019 |
Expiration Date |
09/30/2020 |
End Date |
08/28/2020 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MICHAEL B. BITAR - 15868 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|