Last Updated:  5/4/2024 5:19:28 AM

Pharmacy Detail                               

Corporation / Company Owner Name

TILLMAN COUNTY HOSPITAL 

Business (DBA) Name  

MEMORIAL HOSPITAL TRUST AUTHORITY 

License Number 

42-2803 

Type of Pharmacy

Hospital 

Address

319 E JOSEPHINE

City, State, Zip 

FREDERICK, OK  73542-2298

Country 

 

Issue Date 

08/02/1984 

Renewed Date

07/03/1990

Expiration Date 

 

End Date 

01/23/1991 

Replacing

Replaced By

42-3566

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

DARLENE H. JOHNSTON - 7894

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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