Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
WILBURTON DRUG CO. |
Business (DBA) Name |
HUSKINS DRUG STORE |
License Number |
67-4029 |
Type of Pharmacy |
Retail |
Address |
103 E MAIN |
City, State, Zip |
WILBURTON,
OK 74578-4229 |
Country |
|
Issue Date |
06/14/1996 |
Renewed Date |
07/27/2001 |
Expiration Date |
|
End Date |
08/16/2002 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
PHILIP ROBERT RUSHING - 9645 |
Status |
Probation |
In Process? |
|
|
|
|
Disciplinary Action
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01/23/2002 |
612 |
Contact Board for more information. |
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