Licensee Information
Vancouver
Licensee: Anastasios Raptis
Address: 1140-577 Nicola Ave, Port Coquitlam, BC V3B0P2
Calgary
Licensee: Andrew Costello #12849
Address: 130, 7121 107 Ave SE, Calgary, AB T2C 4Z8
Toronto
Licensee: Tyson Smith
Address: 2 – 2900 Argentina Rd, Mississauga ON L5N 7X9
Moncton
Licensee: Erin Kierstead
Address: 10 Desbrisay Avenue, Unit 2 & 3, Moncton, New Brunswick, E1E 0G8
Proprietors Information
Create Compounding Limited
Proprietor’s Agent: Andrew Costello
Address: 130, 7121 107 Ave SE, Calgary, AB T2C 4Z8
**On the request of a patient, the name and practice permit number of any regulated member who provides a pharmacy service to the patient or who engages in the practice of pharmacy with respect to a patient.**
