Last Updated: 12/24/2024 5:22:34 AM
Pharmacy
Detail
Corporation / Company Owner Name |
PRUETT'S FOOD, INC. |
Business (DBA) Name |
PRUETT'S FOOD - PHARMACY #1 |
License Number |
25-6949 |
Type of Pharmacy |
Retail |
Address |
201 S PARK DRIVE |
City, State, Zip |
BROKEN BOW,
OK 74728 |
Country |
|
Issue Date |
10/28/2014 |
Renewed Date |
09/06/2024 |
Expiration Date |
10/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
KYLE WAYNE GRAY - 17590 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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