Last Updated: 12/24/2024 5:22:34 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
OPTUM PHARMACY 705 LLC |
License Number |
99-8562 |
Type of Pharmacy |
Non-Resident |
Address |
1893 GENERAL GEORGE PATTON DRIVE STE 106 |
City, State, Zip |
FRANKLIN,
TN 37067 |
Country |
|
Issue Date |
10/11/2019 |
Renewed Date |
10/03/2024 |
Expiration Date |
10/31/2025 |
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 |
ANNA RACHELLE KINGTON - 19213 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|