Last Updated: 12/26/2024 5:23:35 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
SOUTHERN PHARMACY LLC |
License Number |
99-6273 |
Type of Pharmacy |
Non-Resident |
Address |
118 WEISENBERGER RD, STE 400 |
City, State, Zip |
MADISON,
MS 39110 |
Country |
|
Issue Date |
04/17/2013 |
Renewed Date |
04/25/2013 |
Expiration Date |
04/30/2014 |
End Date |
05/31/2014 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JEAN BAKER - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|