Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
BRIOVARX OF MAINE, INC. |
Business (DBA) Name |
BRIOVARX |
License Number |
99-6111 |
Type of Pharmacy |
Non-Resident |
Address |
53 DARLING AVE SOUTH |
City, State, Zip |
PORTLAND,
ME 04106 |
Country |
|
Issue Date |
11/15/2012 |
Renewed Date |
11/13/2018 |
Expiration Date |
11/30/2019 |
End Date |
10/01/2019 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
SARA BETH HOWES - 16808 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|