Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CUSTOM COMPOUNDING CENTERS, LLC |
License Number |
99-765 |
Type of Pharmacy |
Non-Resident |
Address |
12062 VALLEY VIEW ST, STE 140 |
City, State, Zip |
GARDEN GROVE,
CA 92845-1777 |
Country |
|
Issue Date |
09/16/2003 |
Renewed Date |
08/20/2010 |
Expiration Date |
09/30/2011 |
End Date |
01/25/2011 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
PAUL R. WHEELER - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|