Last Updated:  12/25/2024 7:09:18 PM

Pharmacy Detail                               

Corporation / Company Owner Name

DIVVYMED, LLC 

Business (DBA) Name  

DIVVYDOSE 

License Number 

99-7305 

Type of Pharmacy

Non-Resident 

Address

3416 BLACKHAWK RD, STE 104

City, State, Zip 

ROCK ISLAND, IL  61201

Country 

 

Issue Date 

06/08/2015 

Renewed Date

06/01/2018

Expiration Date 

06/30/2019 

End Date 

07/13/2018 

Replacing

Replaced By

99-8230

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

ALLEN JAMES KOSTER - 16988

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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