Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

REVCO DISCOUNT DRUG CENTERS, INC. 

Business (DBA) Name  

REVCO DISCOUNT DRUG CENTER NO. 0292 

License Number 

1-2046 

Type of Pharmacy

Retail 

Address

5730 S MAY

City, State, Zip 

OKLAHOMA CITY, OK  73119-5604

Country 

 

Issue Date 

09/01/1977 

Renewed Date

07/18/1990

Expiration Date 

 

End Date 

07/25/1990 

Replacing

Replaced By

1-1690

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

DOUGLAS WALTER SISEMORE - 9159

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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