Last Updated: 3/13/2025 5:23:07 AM
Pharmacy
Detail
Corporation / Company Owner Name |
INNOVAGE PHARMACY, LLC |
Business (DBA) Name |
INNSERVIORX |
License Number |
99-9891 |
Type of Pharmacy |
Non-Resident |
Address |
5303 SPINE ROAD, SUITE 100 |
City, State, Zip |
BOULDER,
CO 80301 |
Country |
|
Issue Date |
02/27/2025 |
Renewed Date |
02/27/2025 |
Expiration Date |
02/28/2026 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
LAUREN NICOLE REICK - 17126 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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