Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
COSTCO WHOLESALE CORPORATION |
Business (DBA) Name |
COSTCO PHARMACY #1710 |
License Number |
99-9760 |
Type of Pharmacy |
Non-Resident |
Address |
310 INTEGRITY DRIVE, SUITE #105 |
City, State, Zip |
MADISON,
WI 53717-1452 |
Country |
|
Issue Date |
08/30/2024 |
Renewed Date |
09/04/2024 |
Expiration Date |
08/31/2025 |
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 |
ERIC M HUCKINS - 20565 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|