Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
SAM'S EAST, INC. |
Business (DBA) Name |
SAM'S PHARMACY NO. 10-6267 |
License Number |
1-6347 |
Type of Pharmacy |
Retail |
Address |
1117 W I-35 FRONTAGE RD |
City, State, Zip |
EDMOND,
OK 73034 |
Country |
|
Issue Date |
06/18/2013 |
Renewed Date |
06/14/2024 |
Expiration Date |
06/30/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DONOVAN S. FULLER - 14472 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
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