License holder summary

BROCK SHANE BAXTER is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for BROCK SHANE BAXTER is Philadelphia PA 19142. This licensed professional license is current. The license was granted 06/14/2013 and expired on 09/30/2014.

Pennsylvania

Department of State

BROCK SHANE BAXTER
Pharmacy - Authorization to Administer Injectables
License number
RPI007359
Date granted
06/14/2013
Date expires
09/30/2014
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
Philadelphia PA 19142
palicensing.org
ID 17129954
LAST UPDATED 2026-06-18 17:08:59 UTC

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