Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
PERIGON PHARMACY 360, LLC |
License Number |
99-9234 |
Type of Pharmacy |
Non-Resident |
Address |
1120 STEVENSON MILL RD STE 200 |
City, State, Zip |
CORAOPOLIS,
PA 15108 |
Country |
|
Issue Date |
06/02/2022 |
Renewed Date |
06/24/2024 |
Expiration Date |
06/30/2025 |
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 |
CHRISTOPHER R ANTYPAS - 19289 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|