KMART PHARMACY 4293 Pharmacist License verification

KMART PHARMACY 4293

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005836

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4293

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2004001457

Action

Reprimand

Discipline Start Date

03/01/2005

Discipline Reason

Dispensed seven Schedule II controlled substance prescriptions after seven days of issuance; failed to have dispensing pharmacist's written signature on controlled substance prescriptions; and improperly receipted DEA 222 forms.