Last Updated: 12/24/2024 5:22:34 AM
Pharmacy
Detail
Corporation / Company Owner Name |
CORAM ALTERNATE SITE SERVICES INC |
Business (DBA) Name |
CORAM CVS SPECIALTY INFUSION SERVICES |
License Number |
99-8521 |
Type of Pharmacy |
Non-Resident |
Address |
1471 BUSINESS CENTER DRIVE STE 500 |
City, State, Zip |
MOUNT PROSPECT,
IL 60056 |
Country |
|
Issue Date |
08/05/2019 |
Renewed Date |
08/16/2024 |
Expiration Date |
08/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JESSICA M BALMELLI - 19850 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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