Last Updated: 12/24/2024 5:22:34 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
INTRATHECAL COMPOUNDING SPECIALISTS, LLC |
License Number |
99-7632 |
Type of Pharmacy |
Non-Resident |
Address |
206A JACOBS RUN |
City, State, Zip |
SCOTT,
LA 70583 |
Country |
|
Issue Date |
05/18/2016 |
Renewed Date |
05/27/2022 |
Expiration Date |
05/31/2023 |
End Date |
07/05/2023 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
STUART H. BURGESS - 15839 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|