FacilityDetail

Last Updated:  4/22/2024 7:06:18 PM

Facility Detail                       
Corporation / Company Owner Name MEDICAL CENTER PHARMACY OF DURANT, INC. 
Business (DBA) Name   ADVANCED CARE MED EQUIP OF TISHOMINGO 
License Number  61-S-782 
Facility Type Medical Gas Supplier 
Address

208 W MAIN ST

City, State, Zip TISHOMINGO,OK 73460 
Country   
Issue Date  01/12/2000 
Renewed Date 01/12/2000
Expiration Date   
Renewal Month
End Date  03/14/2000 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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