Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
COUNTRY BOY PHARMACY |
Business (DBA) Name |
COUNTRY BOY PHARMACY |
License Number |
1-2782 |
Type of Pharmacy |
Retail |
Address |
15047 SE 15TH ST PO BOX 700 |
City, State, Zip |
CHOCTAW,
OK 73020-0700 |
Country |
|
Issue Date |
06/01/1984 |
Renewed Date |
06/25/1996 |
Expiration Date |
|
End Date |
11/14/1996 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MATHEW DAVIS EVANS - 10674 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|