Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
BLACK DRUG, INC. |
Business (DBA) Name |
BLACK DRUG |
License Number |
30-4476 |
Type of Pharmacy |
Retail |
Address |
412 E MAIN |
City, State, Zip |
LOCUST GROVE,
OK 74352-5117 |
Country |
|
Issue Date |
09/01/2000 |
Renewed Date |
09/16/2022 |
Expiration Date |
09/30/2023 |
End Date |
10/04/2023 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MARK RUSSELL MARTIN - 13412 |
Status |
CLOSED |
In Process? |
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|
|
|
Disciplinary Action
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that column.
11/20/2008 |
890 |
Contact Board for more information. |
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