Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
|
|
Business (DBA) Name |
DRUG WAREHOUSE NO. 04 |
|
License Number |
2-4248 |
|
Type of Pharmacy |
Retail |
|
Address |
714 W MAIN |
|
City, State, Zip |
JENKS,
OK 74037-3519 |
|
Country |
|
|
Issue Date |
01/27/1998 |
|
Renewed Date |
11/18/2011 |
|
Expiration Date |
11/30/2012 |
|
End Date |
09/28/2012 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
KEVIN TODD KIRBY - 11259 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|