Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
SHATTUCK PHARMACY MANAGEMENT INC |
Business (DBA) Name |
MEDIC PHARMACY & GIFTS |
License Number |
75-8519 |
Type of Pharmacy |
RMOP In-State |
Address |
522 S MAIN STREET |
City, State, Zip |
SHATTUCK,
OK 73858 |
Country |
|
Issue Date |
08/05/2019 |
Renewed Date |
08/11/2023 |
Expiration Date |
08/31/2024 |
End Date |
10/01/2024 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
KYLE JOHNSON - 12566 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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