Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

NORTH COAST MEDICAL SUPPLY, LLC 

Business (DBA) Name  

ADVANCED DIABETES SUPPLY 

License Number 

99-8871 

Type of Pharmacy

Non-Resident 

Address

2544 CAMPBELL PLACE STE 150

City, State, Zip 

CARLSBAD, CA  92009

Country 

 

Issue Date 

01/25/2021 

Renewed Date

01/12/2024

Expiration Date 

01/31/2025 

End Date 

 

Replacing

99-8531

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

AMANDA BROEDELL - 19619

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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  • ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
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