Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
DAVITA RX, LLC |
License Number |
99-7644 |
Type of Pharmacy |
Non-Resident |
Address |
485 N JUNIPER DRIVE |
City, State, Zip |
CHANDLER,
AZ 85226 |
Country |
|
Issue Date |
06/02/2016 |
Renewed Date |
06/02/2017 |
Expiration Date |
06/30/2018 |
End Date |
09/29/2017 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MARK ANTHONY CARLSON - 16799 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|