Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
LIBERTY MEDICAL SUPPLY, INC. |
License Number |
99-6767 |
Type of Pharmacy |
Non-Resident |
Address |
8881 LIBERTY LANE |
City, State, Zip |
PORT ST. LUCIE,
FL 34952-3477 |
Country |
|
Issue Date |
06/06/2014 |
Renewed Date |
06/06/2014 |
Expiration Date |
06/30/2015 |
End Date |
04/28/2015 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
PHILLIP MONACO - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|