Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
OPTUM PHARMACY 800, INC. |
License Number |
99-8719 |
Type of Pharmacy |
Non-Resident |
Address |
3016 GUADALUPE STREET STE A |
City, State, Zip |
AUSTIN,
TX 78705-2861 |
Country |
|
Issue Date |
06/18/2020 |
Renewed Date |
05/28/2021 |
Expiration Date |
06/30/2022 |
End Date |
06/07/2021 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
CELESTE NICHOLE FOX - 17301 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|