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

10-5441

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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Case Date  

Case Number  

No Disciplinary Action 

 

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