Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
WESTERN DRUG & IV NO. 4 |
License Number |
28-4844 |
Type of Pharmacy |
Retail |
Address |
3120 W HAYES, STE B |
City, State, Zip |
CLINTON,
OK 73601-3601 |
Country |
|
Issue Date |
05/07/2004 |
Renewed Date |
06/18/2004 |
Expiration Date |
06/30/2005 |
End Date |
01/05/2005 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MICHAEL SCOTT CAMPBELL - 12578 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|