Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
MEDICINE SHOPPE |
License Number |
2-4401 |
Type of Pharmacy |
Retail |
Address |
1923 S ELM PL |
City, State, Zip |
BROKEN ARROW,
OK 74012-7029 |
Country |
|
Issue Date |
12/02/1999 |
Renewed Date |
11/29/2006 |
Expiration Date |
12/31/2007 |
End Date |
02/22/2007 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
TODD ERNEST PENDERGRAFT - 10995 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|