Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
MEDIPHARM SPECIALTY PHARMACY, LLC |
License Number |
99-828 |
Type of Pharmacy |
Non-Resident |
Address |
4607 N CLARK AVE |
City, State, Zip |
TAMPA,
FL 33614-7038 |
Country |
|
Issue Date |
03/11/2004 |
Renewed Date |
03/12/2004 |
Expiration Date |
06/30/2004 |
End Date |
08/16/2004 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
STEPHEN M. CADDICK - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|