Last Updated:  5/16/2024 7:04:50 PM

Pharmacy Detail                               

Corporation / Company Owner Name

OKLAHOMA SPINE HOSPITAL, LLC 

Business (DBA) Name  

OKLAHOMA SPINE HOSPITAL 

License Number 

1-4777 

Type of Pharmacy

Hospital Drug Room 

Address

14101 PARKWAY COMMONS DR

City, State, Zip 

OKLAHOMA CITY, OK  73134-6012

Country 

 

Issue Date 

01/01/2004 

Renewed Date

01/12/2024

Expiration Date 

01/31/2025 

End Date 

 

Replacing

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JESSICA DAWN ROTHER - 17980

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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