Last Updated: 12/28/2024 7:07:21 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
23RD STREET PHARMACY, LLC |
License Number |
1-5913 |
Type of Pharmacy |
Retail |
Address |
2316 NW 23RD ST |
City, State, Zip |
OKLAHOMA CITY,
OK 73012 |
Country |
|
Issue Date |
03/07/2012 |
Renewed Date |
03/07/2013 |
Expiration Date |
03/31/2014 |
End Date |
04/17/2014 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
THAO NGUYEN THI PHAN - 13346 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|