Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
JIM'S BOULEVARD PHARMACY |
Business (DBA) Name |
JIM'S BOULEVARD PHARMACY |
License Number |
1-1234 |
Type of Pharmacy |
Retail |
Address |
1415 S BOULEVARD P.O. BOX 69 |
City, State, Zip |
EDMOND,
OK 73083-0069 |
Country |
|
Issue Date |
11/26/1969 |
Renewed Date |
07/05/1989 |
Expiration Date |
|
End Date |
10/27/1989 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JERRY S. SHADID - 8853 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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