Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

AMERICAN OUTCOMES MANAGEMENT, LP 

License Number 

99-9180 

Type of Pharmacy

Non-Resident 

Address

6310 SOUTHWEST BLVD STE 204

City, State, Zip 

FORT WORTH, TX  76109

Country 

 

Issue Date 

03/28/2022 

Renewed Date

03/28/2022

Expiration Date 

03/31/2023 

End Date 

08/10/2022 

Replacing

99-6380

Replaced By

99-9290

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

MICHAEL O. FADEYI - 15845

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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