Last Updated:  4/18/2024 5:20:16 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

DRUG WAREHOUSE NO. 11 

License Number 

36-4013 

Type of Pharmacy

Retail 

Address

905 S MUSKOGEE AVE STE C

City, State, Zip 

TAHLEQUAH, OK  74464-4731

Country 

 

Issue Date 

03/28/1996 

Renewed Date

11/10/2009

Expiration Date 

11/30/2010 

End Date 

03/24/2010 

Replacing

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

RICHARD KENT HANSEN - 10558

Status

CLOSED 

In Process?

 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.  

Case Date  

Case Number  

No Disciplinary Action 

 

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