Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

K-MART PHARMACY NO. 4778 

Business (DBA) Name  

K-MART PHARMACY NO. 4778 

License Number 

6-3623 

Type of Pharmacy

Retail 

Address

2608 N 14TH ST

City, State, Zip 

PONCA CITY, OK  74601-1798

Country 

 

Issue Date 

10/07/1991 

Renewed Date

06/29/2001

Expiration Date 

 

End Date 

03/28/2002 

Replacing

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JEFFREY LEE JANZEN - 10665

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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  • 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.