License Verification

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INDIAN RIVER PHARMACY, INC

License Number: PH12565

Data As Of 12/23/2024

Profession
Pharmacy
License
PH12565
License Status
CLEAR/
Qualifications
Community Pharmacy
Schedule II & III
License Expiration Date
2/28/2027
License Original Issue Date
09/24/1993
Address of Record
3721 10TH COURT
VERO BEACH, FL 32960
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
DECRESCENZO, GREGORY MICHAEL Pharmacy Affiliate Pharmacy Affiliate 05/30/2012
DECRESCENZO, GREGORY MICHAEL RX DPT MGR/COR/POR Pharmacist 19894 03/05/2005
DECRESCENZO, MARY P Pharmacy Affiliate Pharmacy Affiliate 05/30/2012
INDIAN RIVER PHARMACY, INC Pharmacy Corporate Entity Pharmacy Administrator Account 05/30/2012
LAZARUS, KATHERINE THERESA Pharmacy Affiliate Pharmacy Affiliate 05/30/2012
MOORE, LISA ROXANNE Pharmacy Affiliate Pharmacy Affiliate 05/30/2012

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.