Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

CVS EGL INDEPENDENCE SHAWNEE OK, INC. 

Business (DBA) Name  

CVS/PHARMACY NO. 6142 

License Number 

10-5261 

Type of Pharmacy

Retail 

Address

4500 W KICKAPOO AVE

City, State, Zip 

SHAWNEE, OK  74804-1208

Country 

 

Issue Date 

11/28/2007 

Renewed Date

04/29/2008

Expiration Date 

04/30/2009 

End Date 

02/13/2009 

Replacing

10-4988

Replaced By

10-5392

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

CAROL BEARLY CLEVELAND - 9493

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.