Last Updated: 3/28/2024 5:20:33 AM
Pharmacy
Detail
Corporation / Company Owner Name |
WALGREEN CO. |
Business (DBA) Name |
WALGREENS #11811 |
License Number |
10-7123 |
Type of Pharmacy |
Retail |
Address |
600 SHAWNEE MALL DR |
City, State, Zip |
SHAWNEE,
OK 74804-1322 |
Country |
|
Issue Date |
01/30/2015 |
Renewed Date |
01/12/2024 |
Expiration Date |
01/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
KYLE RAYMOND KLISH - 18751 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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