Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
PARK COMPOUNDING PHARMACY, INC. |
License Number |
99-972 |
Type of Pharmacy |
Non-Resident |
Address |
280 N WESTLAKE BLVD STE 100 |
City, State, Zip |
WESTLAKE VILLAGE,
CA 91362-7014 |
Country |
|
Issue Date |
05/11/2005 |
Renewed Date |
04/26/2007 |
Expiration Date |
05/31/2008 |
End Date |
07/01/2008 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
TONY J. PARK - 0 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|