Last Updated: 12/25/2024 7:09:18 PM
Pharmacy
Detail
Corporation / Company Owner Name |
PORTLAND PROFESSIONAL PHARMACY ASSOCIATES |
Business (DBA) Name |
NMHC ASCEND |
License Number |
99-809 |
Type of Pharmacy |
Non-Resident |
Address |
53 DARLING AVE |
City, State, Zip |
SO. PORTLAND,
ME 04106-2301 |
Country |
|
Issue Date |
01/30/2004 |
Renewed Date |
01/28/2008 |
Expiration Date |
01/31/2009 |
End Date |
11/06/2008 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
RICHARD COUILLARD, JR. - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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