Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

DRUG WAREHOUSE NO. 04 

License Number 

2-4248 

Type of Pharmacy

Retail 

Address

714 W MAIN

City, State, Zip 

JENKS, OK  74037-3519

Country 

 

Issue Date 

01/27/1998 

Renewed Date

11/18/2011

Expiration Date 

11/30/2012 

End Date 

09/28/2012 

Replacing

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

KEVIN TODD KIRBY - 11259

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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