Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CHEYENNE PROFESSIONAL DRUG, INC. |
License Number |
76-1461 |
Type of Pharmacy |
Retail |
Address |
413 BROADWAY PO BOX 280 |
City, State, Zip |
CHEYENNE,
OK 73628-0280 |
Country |
|
Issue Date |
04/07/1972 |
Renewed Date |
03/27/2009 |
Expiration Date |
04/30/2010 |
End Date |
08/27/2009 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
EDDIE TOM LAKEY - 7945 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|