Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
COAST TO COAST PHARMACY, INC. |
Business (DBA) Name |
DIABETIC SUPPORT PHARMACY |
License Number |
99-7453 |
Type of Pharmacy |
Non-Resident |
Address |
3381 FAIRLANE FARMS RD STE 2B |
City, State, Zip |
WELLINGTON,
FL 33414 |
Country |
|
Issue Date |
10/14/2015 |
Renewed Date |
10/16/2015 |
Expiration Date |
10/31/2016 |
End Date |
11/30/2016 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MONICA MIKHAIL RIZKALLA - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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