Last Updated: 12/4/2025 7:08:52 PM
Pharmacy
Detail
|
Corporation / Company Owner Name |
COUNTRY BOY PHARMACY |
|
Business (DBA) Name |
COUNTRY BOY PHARMACY |
|
License Number |
1-2782 |
|
Type of Pharmacy |
Retail |
|
Address |
15047 SE 15TH ST PO BOX 700 |
|
City, State, Zip |
CHOCTAW,
OK 73020-0700 |
|
Country |
|
|
Issue Date |
06/01/1984 |
|
Renewed Date |
06/25/1996 |
|
Expiration Date |
|
|
End Date |
11/14/1996 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
MATHEW DAVIS EVANS - 10674 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|