Last Updated: 12/4/2025 7:08:52 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 |
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|
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? |
|
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Disciplinary Action
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that column.
|
No Disciplinary
Action |
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