Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
AVELLA PATIENT ACCESS PROGRAM INC |
License Number |
99-8199 |
Type of Pharmacy |
Non-Resident |
Address |
100 TECHNOLOGY PARK SUITE 157 |
City, State, Zip |
LAKE MARY,
FL 32746 |
Country |
|
Issue Date |
05/08/2018 |
Renewed Date |
05/08/2018 |
Expiration Date |
05/31/2019 |
End Date |
02/04/2019 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MARY PAULA STEVENS - 16963 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|