Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
REVCO DISCOUNT DRUG CENTERS, INC. |
Business (DBA) Name |
REVCO DISCOUNT DRUG CENTER NO. 0253 |
License Number |
23-2049 |
Type of Pharmacy |
Retail |
Address |
803 N BROADWAY AVENUE |
City, State, Zip |
ADA,
OK 74820-2033 |
Country |
|
Issue Date |
09/07/1977 |
Renewed Date |
07/06/1990 |
Expiration Date |
|
End Date |
07/17/1990 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JOHN SCOTT RENES - 8638 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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