Last Updated:  10/5/2024 5:25:44 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

LUMICERA HEALTH SERVICES LLC 

License Number 

99-8903 

Type of Pharmacy

Non-Resident 

Address

704 QUINCE ORCHARD ROAD SUITE 150

City, State, Zip 

GAITHERSBURG, MD  20878

Country 

 

Issue Date 

03/01/2021 

Renewed Date

02/16/2023

Expiration Date 

03/31/2024 

End Date 

04/27/2023 

Replacing

99-8311

Replaced By

99-9457

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

DARVIN THOMAS KURUVILLA JOY - 17473

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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