Last Updated: 12/23/2024 7:07:10 PM
Pharmacy
Detail
Corporation / Company Owner Name |
ATLANTIC MEDICAL, LLC |
Business (DBA) Name |
CANYON HEALTHCARE |
License Number |
99-6290 |
Type of Pharmacy |
Non-Resident |
Address |
165 W SOUTH ST, STE 208 |
City, State, Zip |
HERNANDO,
MS 38632 |
Country |
|
Issue Date |
05/15/2013 |
Renewed Date |
05/16/2013 |
Expiration Date |
05/31/2014 |
End Date |
02/03/2014 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MARY SKINNER - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|