Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

COUNTRY BOY PHARMACY 

License Number 

1-4081 

Type of Pharmacy

Retail 

Address

1530 S CHOCTAW RD STE A

City, State, Zip 

CHOCTAW, OK  73020-7053

Country 

 

Issue Date 

11/14/1996 

Renewed Date

10/11/2011

Expiration Date 

11/30/2012 

End Date 

12/01/2011 

Replacing

1-2782

Replaced By

1-5827

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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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
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