Last Updated: 12/26/2024 7:08:05 PM
Pharmacy
Detail
Corporation / Company Owner Name |
CAREMARK KANSAS SPECIALTY PHARMACY, LLC |
Business (DBA) Name |
CVS/SPECIALTY |
License Number |
99-7698 |
Type of Pharmacy |
Non-Resident |
Address |
11162 RENNER BLVD |
City, State, Zip |
LENEXA,
KS 66219-9621 |
Country |
|
Issue Date |
08/10/2016 |
Renewed Date |
07/22/2022 |
Expiration Date |
08/31/2023 |
End Date |
01/31/2023 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MICHAEL MAYABI - 16308 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|