Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CUSTOM CARE PHARMACY |
License Number |
99-685 |
Type of Pharmacy |
Non-Resident |
Address |
5710 HOOVER BLVD |
City, State, Zip |
TAMPA,
FL 33634-5339 |
Country |
|
Issue Date |
12/31/2002 |
Renewed Date |
06/09/2004 |
Expiration Date |
06/30/2005 |
End Date |
09/17/2004 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
YARISI M. VALERO - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|