Last Updated: 12/6/2025 5:24:43 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 |
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|
Issue Date |
09/01/2000 |
|
Renewed Date |
09/16/2022 |
|
Expiration Date |
09/30/2023 |
|
End Date |
10/04/2023 |
|
Replacing |
|
|
Replaced By |
|
|
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? |
|
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Disciplinary Action
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that column.
|
11/20/2008 |
890 |
|
Contact Board for more information. |
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