Last Updated: 11/25/2024 8:11:31 AM
Pharmacy
Detail
Corporation / Company Owner Name |
KROGER SPECIALTY PHARMACY LA, LLC |
Business (DBA) Name |
KROGER SPECIALTY PHARMACY TX |
License Number |
99-8018 |
Type of Pharmacy |
Non-Resident |
Address |
4280 KELLWAY CIRCLE |
City, State, Zip |
ADDISON,
TX 75001-4200 |
Country |
|
Issue Date |
08/14/2017 |
Renewed Date |
07/22/2020 |
Expiration Date |
08/31/2021 |
End Date |
10/16/2020 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JACOB QUINTIN SALMON - 17517 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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