Last Updated:  10/6/2024 5:21:58 AM

Pharmacy Detail                               

Corporation / Company Owner Name

BLACK DRUG, INC. 

Business (DBA) Name  

BLACK DRUG 

License Number 

30-4476 

Type of Pharmacy

Retail 

Address

412 E MAIN

City, State, Zip 

LOCUST GROVE, OK  74352-5117

Country 

 

Issue Date 

09/01/2000 

Renewed Date

09/16/2022

Expiration Date 

09/30/2023 

End Date 

10/04/2023 

Replacing

30-2591

Replaced By

30-9363

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

MARK RUSSELL MARTIN - 13412

Status

CLOSED 

In Process?

 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.  

Case Date  

Case Number  

11/20/2008 

890 

Contact Board for more information.

 

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