Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
VITAL RX OF LOUISIANA, LLC |
License Number |
99-8096 |
Type of Pharmacy |
Non-Resident |
Address |
722 N HWY 171 |
City, State, Zip |
LAKE CHARLES,
LA 70611 |
Country |
|
Issue Date |
12/07/2017 |
Renewed Date |
11/23/2021 |
Expiration Date |
12/31/2022 |
End Date |
02/01/2022 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JOSEPH TROY TATE - 16517 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|