Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CORAM CVS/SPECIALTY INFUSION SERVICES |
License Number |
99-9087 |
Type of Pharmacy |
Non-Resident |
Address |
2100 HIGHLAND CORPORATE PARK DRIVE #200 |
City, State, Zip |
CUMBERLAND,
RI 02864 |
Country |
|
Issue Date |
11/15/2021 |
Renewed Date |
10/03/2024 |
Expiration Date |
11/30/2025 |
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 |
KRISTEN A IANNUCCILLI - 19408 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|