This two-phased project increased and remodeled the existing outpatient pharmacy in place within the Durham Outpatient Center at Nebraska Medicine. Because it was necessary to perform work without disrupting current operations, the multiple phases of this project presented unique challenges. In addition, the Altus team worked to create code-compliant spaces within the confines of the existing footprint. This involved highly detailed project work and reporting with quick turnaround times. In the end, various department stakeholder goals were met simultaneously and the Durham Outpatient Center pharmacy is now code compliant and workflow improved.