Last Updated:  12/22/2024 7:09:13 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

DRUG WAREHOUSE NO. 11 

License Number 

36-4013 

Type of Pharmacy

Retail 

Address

905 S MUSKOGEE AVE STE C

City, State, Zip 

TAHLEQUAH, OK  74464-4731

Country 

 

Issue Date 

03/28/1996 

Renewed Date

11/10/2009

Expiration Date 

11/30/2010 

End Date 

03/24/2010 

Replacing

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

RICHARD KENT HANSEN - 10558

Status

CLOSED 

In Process?

 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.  

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.