Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
OPTUM FRONTIER THERAPIES II LLC |
License Number |
99-8881 |
Type of Pharmacy |
Non-Resident |
Address |
6425 SANTA MARGARITA ST UNIT 110 |
City, State, Zip |
LAS VEGAS,
NV 89118 |
Country |
|
Issue Date |
02/04/2021 |
Renewed Date |
01/26/2024 |
Expiration Date |
02/28/2025 |
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 |
DOMINIC ORTEGA - 19145 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|