Last Updated: 12/9/2025 5:24:17 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
WALGREEN CO. |
|
Business (DBA) Name |
WALGREENS NO. 12161 |
|
License Number |
2-5417 |
|
Type of Pharmacy |
Retail |
|
Address |
11605 N 135TH E AVE |
|
City, State, Zip |
COLLINSVILLE,
OK 74021-4807 |
|
Country |
|
|
Issue Date |
03/17/2009 |
|
Renewed Date |
03/17/2014 |
|
Expiration Date |
03/31/2015 |
|
End Date |
01/30/2015 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
PHILIP MATTHEW SHINN - 14183 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|