Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

WALGREENS SPECIALTY PHARMACY, LLC 

Business (DBA) Name  

ALLIANCERX WALGREENS PRIME #04566-2 

License Number 

99-8050 

Type of Pharmacy

Non-Resident 

Address

9505 SW GEMINI DR

City, State, Zip 

BEAVERTON, OR  97008

Country 

 

Issue Date 

10/12/2017 

Renewed Date

09/30/2020

Expiration Date 

10/31/2021 

End Date 

06/30/2021 

Replacing

99-7527

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

LIH-WERN WANG - 15251

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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