Last Updated: 12/28/2024 7:07:21 PM
Pharmacy
Detail
Corporation / Company Owner Name |
MANGUM DRUG CO LLC |
Business (DBA) Name |
MANGUM DRUG CO |
License Number |
60-8517 |
Type of Pharmacy |
Retail |
Address |
109 S OKLAHOMA AVENUE |
City, State, Zip |
MANGUM,
OK 73554 |
Country |
|
Issue Date |
08/05/2019 |
Renewed Date |
08/11/2022 |
Expiration Date |
08/31/2023 |
End Date |
09/16/2022 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DANA GAYLE RILEY - 11538 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|