Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
DIVERSIFIED PHARMACY INC |
Business (DBA) Name |
UNIVERSITY COMPOUNDING PHARMACY |
License Number |
99-9726 |
Type of Pharmacy |
Non-Resident |
Address |
6054 LIVERNOIS RD |
City, State, Zip |
TROY,
MI 48098 |
Country |
|
Issue Date |
07/22/2024 |
Renewed Date |
07/23/2024 |
Expiration Date |
07/31/2025 |
End Date |
10/01/2024 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
EVANO AVIS KASHAT - 20479 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|