Last Updated:  11/21/2024 7:05:00 PM

Pharmacy Detail                               

Corporation / Company Owner Name

REVCO DISCOUNT DRUG CENTERS, INC. 

Business (DBA) Name  

REVCO DISCOUNT DRUG CENTER NO. 4117 

License Number 

1-2808 

Type of Pharmacy

Retail 

Address

824 W THIRD STREET, KELLY W S/C

City, State, Zip 

EDMOND, OK  73034-3313

Country 

 

Issue Date 

09/07/1984 

Renewed Date

07/06/1990

Expiration Date 

 

End Date 

08/04/1990 

Replacing

Replaced By

1-2911

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

KENNETH WAYNE HERROLD - 10036

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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