Last Updated:  12/23/2024 5:22:52 AM

Pharmacy Detail                               

Corporation / Company Owner Name

TRANSFORM KM LLC 

Business (DBA) Name  

KMART PHARMACY #4782 

License Number 

28-8417 

Type of Pharmacy

Retail 

Address

2501 RED WHEAT DRIVE

City, State, Zip 

CLINTON, OK  73601

Country 

 

Issue Date 

04/02/2019 

Renewed Date

04/02/2019

Expiration Date 

04/30/2020 

End Date 

10/23/2019 

Replacing

28-3632

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

KIMBERLY ANNETTA GRISHAM - 13425

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

  • PRIMARY SOURCE VERIFICATION: The Oklahoma State Board of Pharmacy certifies that it maintains the information for the license verification function of this website, performs daily updates to the website and considers the website to be a secure, primary source for license verification.
  • ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
  • WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.