Last Updated: 12/25/2024 7:09:18 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
PORTLAND PROFESSIONAL PHARMACY LLC |
License Number |
99-7784 |
Type of Pharmacy |
Non-Resident |
Address |
11717 NE GLISAN ST |
City, State, Zip |
PORTLAND,
OR 97220 |
Country |
|
Issue Date |
11/29/2016 |
Renewed Date |
01/05/2018 |
Expiration Date |
11/30/2018 |
End Date |
07/13/2018 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
- |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|