Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
BRAVA CA LLC |
License Number |
99-9406 |
Type of Pharmacy |
Non-Resident |
Address |
8 DIGITAL DRIVE SUITE 104 |
City, State, Zip |
NOVATO,
CA 94949 |
Country |
|
Issue Date |
02/27/2023 |
Renewed Date |
02/16/2024 |
Expiration Date |
02/28/2025 |
End Date |
05/31/2024 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
TRISHA RENEE PETTICREW - 20005 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|