Last Updated: 11/21/2024 7:05:00 PM
Pharmacy
Detail
Corporation / Company Owner Name |
CVS EGL VANDAMENT YUKON OK, INC. |
Business (DBA) Name |
CVS/PHARMACY NO. 6232 |
License Number |
26-4999 |
Type of Pharmacy |
Retail |
Address |
110 W VANDAMENT AVE |
City, State, Zip |
YUKON,
OK 73099-4631 |
Country |
|
Issue Date |
02/28/2005 |
Renewed Date |
04/29/2008 |
Expiration Date |
04/30/2009 |
End Date |
02/13/2009 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
SUZANNA RENEE COOK - 13563 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|