Last Updated:  3/28/2024 7:06:16 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

PRAGUE MUNICIPAL HOSPITAL 

License Number 

31-4909 

Type of Pharmacy

Hospital Drug Room 

Address

1322 KLABZUBA AVE

PO DRAWER S

City, State, Zip 

PRAGUE, OK  74864-1090

Country 

 

Issue Date 

09/03/2004 

Renewed Date

09/18/2008

Expiration Date 

09/30/2009 

End Date 

01/23/2009 

Replacing

31-4805

Replaced By

31-5372

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

DOYLE RAY COOPER - 7635

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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