Last Updated: 12/6/2025 5:24:43 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
ESI MAIL PHARMACY SERVICE, INC. |
|
Business (DBA) Name |
EXPRESS SCRIPTS |
|
License Number |
99-1497 |
|
Type of Pharmacy |
Non-Resident |
|
Address |
4610 E COTTON CENTER BLVD, STE 105 |
|
City, State, Zip |
PHOENIX,
AZ 85040-8898 |
|
Country |
|
|
Issue Date |
03/26/2010 |
|
Renewed Date |
02/26/2016 |
|
Expiration Date |
03/31/2017 |
|
End Date |
04/21/2017 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
BRYAN J. OLENIK - 16324 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|