Last Updated:  12/23/2024 5:22:52 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

BRIOVARX INFUSION SERVICES 305 LLC 

License Number 

99-7929 

Type of Pharmacy

Non-Resident 

Address

15529 COLLEGE BLVD

City, State, Zip 

LENEXA, KS  66219

Country 

 

Issue Date 

05/16/2017 

Renewed Date

04/12/2019

Expiration Date 

05/31/2020 

End Date 

03/13/2020 

Replacing

99-7212

Replaced By

99-8660

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

ERIK BROXTERMAN - 17727

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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