Last Updated: 11/25/2024 8:11:31 AM
Pharmacy
Detail
Corporation / Company Owner Name |
DELTA MEDICAL INFUSION LLC |
Business (DBA) Name |
DELTA MEDICAL INFUSION |
License Number |
99-8942 |
Type of Pharmacy |
Non-Resident |
Address |
375 E MILLSAP RD SUITE 3 |
City, State, Zip |
FAYETTEVILLE,
AR 72703 |
Country |
|
Issue Date |
04/20/2021 |
Renewed Date |
04/14/2023 |
Expiration Date |
04/30/2024 |
End Date |
04/21/2023 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MARK ANDREW KOSTELNIK - 14707 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|