Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
PRIME THERAPEUTICS SPECIALTY PHARMACY LLC |
Business (DBA) Name |
ALLIANCERX WALGREENS PRIME #16568 |
License Number |
99-8055 |
Type of Pharmacy |
Non-Resident |
Address |
2354 COMMERCE PARK DR, STE 100 |
City, State, Zip |
ORLANDO,
FL 32819 |
Country |
|
Issue Date |
10/12/2017 |
Renewed Date |
10/13/2021 |
Expiration Date |
10/31/2022 |
End Date |
06/23/2022 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
HARIKRISHNA BRAHMBHATT - 18657 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|