Last Updated:  12/26/2024 7:08:05 PM

Pharmacy Detail                               

Corporation / Company Owner Name

CORAM ALTERNATE SITE SERVICES, INC. 

Business (DBA) Name  

CORAM CVS/SPECIALTY INFUSION SERVICES 

License Number 

99-7282 

Type of Pharmacy

Non-Resident 

Address

8013 FLINT ST

City, State, Zip 

LENEXA, KS  66214-3335

Country 

 

Issue Date 

05/15/2015 

Renewed Date

04/19/2024

Expiration Date 

05/31/2025 

End Date 

 

Replacing

99-5942

Replaced By

Drug Supplier

No 

Sterile Compounding

Yes 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

GEORGIA BROOKE WALDROP - 20162

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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