Last Updated:  5/3/2024 7:04:33 PM

Pharmacy Detail                               

Corporation / Company Owner Name

SEQUOYAH CNTY CITY OF SALLISAW HOSP AUTHORITY 

Business (DBA) Name  

SEQUOYAH MEMORIAL HOSPITAL 

License Number 

34-4802 

Type of Pharmacy

Hospital Drug Room 

Address

213 E REDWOOD

PO BOX 505

City, State, Zip 

SALLISAW, OK  74955-0505

Country 

 

Issue Date 

01/01/2004 

Renewed Date

01/19/2017

Expiration Date 

01/31/2018 

End Date 

08/09/2017 

Replacing

Replaced By

34-8009

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JORDAN RAE FOLKERTS - 15209

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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