Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
|
|
Business (DBA) Name |
CORAM CVS/SPECIALTY INFUSION SERVICES |
|
License Number |
99-9087 |
|
Type of Pharmacy |
Non-Resident |
|
Address |
2100 HIGHLAND CORPORATE PARK DRIVE #200 |
|
City, State, Zip |
CUMBERLAND,
RI 02864 |
|
Country |
|
|
Issue Date |
11/15/2021 |
|
Renewed Date |
10/03/2024 |
|
Expiration Date |
11/30/2025 |
|
End Date |
07/03/2025 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
KRISTEN A IANNUCCILLI - 19408 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
|
No Disciplinary
Action |
|