Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
PETRA PHARMACY SERVICES, INC. |
Business (DBA) Name |
PAGOSA SPECIALTY PHARMACY |
License Number |
99-6946 |
Type of Pharmacy |
Non-Resident |
Address |
426 PAGOSA ST |
City, State, Zip |
PAGOSA SPRINGS,
CO 81147 |
Country |
|
Issue Date |
10/28/2014 |
Renewed Date |
11/13/2015 |
Expiration Date |
10/31/2016 |
End Date |
05/26/2016 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
LINDA KUTZKO - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|