Last Updated:  4/26/2024 5:20:56 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

THE PALACE DRUG STORE INC 

License Number 

74-7690 

Type of Pharmacy

Retail 

Address

104 W OHIO

PO BOX 273

City, State, Zip 

COALGATE, OK  74538-0273

Country 

 

Issue Date 

08/04/2016 

Renewed Date

07/15/2020

Expiration Date 

08/31/2021 

End Date 

07/22/2021 

Replacing

74-3861

Replaced By

74-9021

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JARED SCOTT COLLINS - 18324

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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