Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
AETNA RX HOME DELIVERY, LLC |
Business (DBA) Name |
AETNA RX HOME DELIVERY |
License Number |
99-705 |
Type of Pharmacy |
Non-Resident |
Address |
10991 NW AIRWORLD DR |
City, State, Zip |
KANSAS CITY,
MO 64153-2011 |
Country |
|
Issue Date |
03/06/2003 |
Renewed Date |
02/15/2019 |
Expiration Date |
03/31/2020 |
End Date |
05/06/2019 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JOHN PATRICK DEHAEMERS - 16341 |
Status |
CLOSED |
In Process? |
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|
|
|
Disciplinary Action
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that column.
04/16/2014 |
1274 |
Contact Board for more information. |
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