Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

KEN'S MED SHOP 

License Number 

44-3556 

Type of Pharmacy

Retail 

Address

1003 OKLAHOMA AVE

City, State, Zip 

WOODWARD, OK  73801-4661

Country 

 

Issue Date 

11/30/1990 

Renewed Date

06/16/2005

Expiration Date 

11/30/2006 

End Date 

02/10/2006 

Replacing

44-2990

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

KENNETH H. SMITH - 7165

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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