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. 0254 |
License Number |
10-1860 |
Type of Pharmacy |
Retail |
Address |
706 W AYRE STREET |
City, State, Zip |
SHAWNEE,
OK 74801-4707 |
Country |
|
Issue Date |
02/12/1976 |
Renewed Date |
07/06/1990 |
Expiration Date |
|
End Date |
08/04/1990 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
PHILLIP HUBERT KLOPFENSTEIN - 9282 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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