Last Updated: 12/23/2024 7:07:10 PM
Pharmacy
Detail
Corporation / Company Owner Name |
TAHLEQUAH DRUG COMPANY LLC |
Business (DBA) Name |
TAHLEQUAH DRUG COMPANY |
License Number |
36-4824 |
Type of Pharmacy |
Retail |
Address |
2028 MAHANEY AVE |
City, State, Zip |
TAHLEQUAH,
OK 74464-5783 |
Country |
|
Issue Date |
02/10/2004 |
Renewed Date |
01/31/2020 |
Expiration Date |
02/28/2021 |
End Date |
01/26/2021 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MATTHEW R. LEE - 13829 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|