Last Updated: 12/25/2024 7:09:18 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
SOUTHERN ISOTOPES OF SHREVEPORT |
License Number |
99-695 |
Type of Pharmacy |
Non-Resident |
Address |
1505 KINGS HWY |
City, State, Zip |
SHREVEPORT,
LA 71103-4228 |
Country |
|
Issue Date |
01/30/2003 |
Renewed Date |
06/10/2004 |
Expiration Date |
06/30/2005 |
End Date |
08/15/2005 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
FRANK WATSON - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|