Last Updated:  4/27/2024 5:20:44 AM

Pharmacy Detail                               

Corporation / Company Owner Name

MISSION HOSPICE LLC 

Business (DBA) Name  

PIETA PHARMACY 

License Number 

1-5156 

Type of Pharmacy

Retail 

Address

1608 NW EXPRESSWAY, STE B

City, State, Zip 

OKLAHOMA CITY, OK  73118-1402

Country 

 

Issue Date 

03/22/2007 

Renewed Date

03/18/2008

Expiration Date 

03/31/2009 

End Date 

03/03/2009 

Replacing

1-4708

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

DEANNE RAE JACOBS - 10821

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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  • ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
  • WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.