Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
DEAN RETAIL SERVICES, INC. |
Business (DBA) Name |
SSM HEALTH PHARMACY |
License Number |
99-8541 |
Type of Pharmacy |
Non-Resident |
Address |
1313 FISH HATCHERY PHARMACY STE 300 |
City, State, Zip |
MADISON,
WI 53715 |
Country |
|
Issue Date |
09/20/2019 |
Renewed Date |
09/20/2019 |
Expiration Date |
09/30/2020 |
End Date |
10/16/2020 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
KYLE MILLER - 18262 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|