Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
CUSTOM MADE PHARMACY, INC. |
Business (DBA) Name |
SPECIALTY COMPOUNDING PHARMACY |
License Number |
99-6289 |
Type of Pharmacy |
Non-Resident |
Address |
13322 REVERSIDE DR |
City, State, Zip |
SHERMAN OAKS,
CA 91423 |
Country |
|
Issue Date |
05/15/2013 |
Renewed Date |
05/22/2015 |
Expiration Date |
05/31/2016 |
End Date |
12/31/2015 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MARZIEH ESMAEILI - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|