Last Updated: 12/6/2025 5:24:43 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
K-MART CORPORATION |
|
Business (DBA) Name |
K-MART PHARMACY NO. 4782 |
|
License Number |
28-3632 |
|
Type of Pharmacy |
Retail |
|
Address |
2501 REDWHEAT DR |
|
City, State, Zip |
CLINTON,
OK 73601-5319 |
|
Country |
|
|
Issue Date |
10/29/1991 |
|
Renewed Date |
10/01/2018 |
|
Expiration Date |
09/30/2019 |
|
End Date |
04/02/2019 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
KIMBERLY ANNETTA GRISHAM - 13425 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|