Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
DRUG WAREHOUSE NO. 05 |
License Number |
4-3574 |
Type of Pharmacy |
Retail |
Address |
3202 W OKMULGEE |
City, State, Zip |
MUSKOGEE,
OK 74401-5067 |
Country |
|
Issue Date |
03/18/1991 |
Renewed Date |
11/08/2011 |
Expiration Date |
11/30/2012 |
End Date |
10/25/2012 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DAN C. EPPERSON - 10146 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|