Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

COUNTRY BOY PHARMACY NO. 5 

Business (DBA) Name  

COUNTRY BOY PHARMACY NO. 5 

License Number 

1-2873 

Type of Pharmacy

Retail 

Address

2001 NE 23RD STREET

City, State, Zip 

OKLAHOMA CITY, OK  73111-1203

Country 

 

Issue Date 

03/20/1985 

Renewed Date

07/11/1991

Expiration Date 

 

End Date 

11/08/1991 

Replacing

1-2872

Replaced By

1-3636

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

LESLIE FLOYD GOODMAN - 9854

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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  • ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
  • WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.