Last Updated: 12/6/2025 5:24:43 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
|
|
Business (DBA) Name |
AETNA RX HOME DELIVERY, LLC |
|
License Number |
99-1003 |
|
Type of Pharmacy |
Non-Resident |
|
Address |
2528 NW 19TH ST |
|
City, State, Zip |
POMPANO BEACH,
FL 33069-5229 |
|
Country |
|
|
Issue Date |
08/26/2005 |
|
Renewed Date |
08/03/2012 |
|
Expiration Date |
08/31/2013 |
|
End Date |
11/20/2012 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
TOKUNBO KASSIM - 0 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|