Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
PHARMBLUE ARIZONA LLC |
Business (DBA) Name |
AVITA PHARMACY 1026 |
License Number |
99-8939 |
Type of Pharmacy |
Non-Resident |
Address |
1260 SOUTH CAMPBELL ROAD SUITE 1152 |
City, State, Zip |
GREEN VALLEY,
AZ 85614 |
Country |
|
Issue Date |
04/20/2021 |
Renewed Date |
03/01/2024 |
Expiration Date |
04/30/2025 |
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 |
DANELLE NYCOLE HUNTER - 19971 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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