Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
REVCO DISCOUNT DRUG CENTERS, INC. |
Business (DBA) Name |
REVCO DISCOUNT DRUG CENTER NO. 2882 |
License Number |
4-3098 |
Type of Pharmacy |
Retail |
Address |
1302 S YORK |
City, State, Zip |
MUSKOGEE,
OK 74403-7650 |
Country |
|
Issue Date |
12/01/1986 |
Renewed Date |
07/06/1990 |
Expiration Date |
|
End Date |
07/17/1990 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
KENNETH ROYAL RUSSELL, JR. - 10399 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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