Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CUSTOM COMPOUNDING PHARMACY, LLC |
License Number |
99-7493 |
Type of Pharmacy |
Non-Resident |
Address |
1880 SANTA FE DR STE 200 |
City, State, Zip |
WEATHERFORD,
TX 76086 |
Country |
|
Issue Date |
12/10/2015 |
Renewed Date |
12/14/2018 |
Expiration Date |
12/31/2019 |
End Date |
09/27/2019 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
KENDRA FERRIS - 14143 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|