Last Updated: 12/5/2025 7:08:18 PM
Pharmacy
Detail
|
Corporation / Company Owner Name |
|
|
Business (DBA) Name |
REAVIS SUPER DRUG |
|
License Number |
22-2032 |
|
Type of Pharmacy |
Retail |
|
Address |
201 S CHICKASAW |
|
City, State, Zip |
PAULS VALLEY,
OK 73075-4234 |
|
Country |
|
|
Issue Date |
07/18/1977 |
|
Renewed Date |
07/14/1993 |
|
Expiration Date |
|
|
End Date |
07/30/1993 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
JACK L. JUSTICE - 8244 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
07/18/1985 |
254A |
|
Contact Board for more information. |
|