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 |
|
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
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|