Last Updated: 12/25/2024 7:09:18 PM
Pharmacy
Detail
Corporation / Company Owner Name |
CENTRAL ILLINOIS COMPOUNDING, INC. |
Business (DBA) Name |
PRECKSHOT PROFESSIONAL PHARMACY |
License Number |
99-7713 |
Type of Pharmacy |
Non-Resident |
Address |
5832 N KNOXVILLE AVE |
City, State, Zip |
PEORIA,
IL 61614 |
Country |
|
Issue Date |
08/30/2016 |
Renewed Date |
09/01/2016 |
Expiration Date |
08/31/2017 |
End Date |
09/30/2017 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JENNIFER A. SIEFERT - 16026 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|