Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
COAST TO COAST PHARMACY, INC. |
|
Business (DBA) Name |
DIABETIC SUPPORT PHARMACY |
|
License Number |
99-7453 |
|
Type of Pharmacy |
Non-Resident |
|
Address |
3381 FAIRLANE FARMS RD STE 2B |
|
City, State, Zip |
WELLINGTON,
FL 33414 |
|
Country |
|
|
Issue Date |
10/14/2015 |
|
Renewed Date |
10/16/2015 |
|
Expiration Date |
10/31/2016 |
|
End Date |
11/30/2016 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
MONICA MIKHAIL RIZKALLA - 0 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|