Last Updated: 12/28/2024 7:07:21 PM
Pharmacy
Detail
Corporation / Company Owner Name |
CUSTOM RX LLC |
Business (DBA) Name |
CUSTOM RX COMPOUNDING PHARMACY |
License Number |
99-6523 |
Type of Pharmacy |
Non-Resident |
Address |
6519 NICOLLET AVE S, STE 201 |
City, State, Zip |
RICHFIELD,
MN 55423 |
Country |
|
Issue Date |
12/18/2013 |
Renewed Date |
02/05/2016 |
Expiration Date |
12/31/2016 |
End Date |
08/09/2016 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
ROY D. KATZ - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|