Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
ALICEA ENTERPRISES, LLC |
Business (DBA) Name |
PHYSICIAN SPECIALTY COMPOUNDING BY SUNLAKE |
License Number |
99-6707 |
Type of Pharmacy |
Non-Resident |
Address |
18964 N DALE MABRY, STE 102 |
City, State, Zip |
LUTZ,
FL 33548 |
Country |
|
Issue Date |
04/17/2014 |
Renewed Date |
04/09/2015 |
Expiration Date |
04/30/2016 |
End Date |
07/31/2015 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DAVID JOSEPH - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|