Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
ESI MAIL PHARMACY SERVICE, INC. |
Business (DBA) Name |
EXPRESS SCRIPTS |
License Number |
99-6926 |
Type of Pharmacy |
Non-Resident |
Address |
4500 ALEXANDER BLVD NE |
City, State, Zip |
ALBUQUERQUE,
NM 87107 |
Country |
|
Issue Date |
10/15/2014 |
Renewed Date |
10/11/2024 |
Expiration Date |
10/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DANA N KORPAN - 17552 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|