Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CPN MAIL ORDER PHARMACY |
License Number |
10-5052 |
Type of Pharmacy |
Retail |
Address |
2307 S GORDON COOPER DR STE A |
City, State, Zip |
SHAWNEE,
OK 74801-9007 |
Country |
|
Issue Date |
09/21/2005 |
Renewed Date |
08/30/2024 |
Expiration Date |
09/30/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DAKOTA DALE RAY PAXSON - 19817 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|