Last Updated:  4/19/2024 5:19:12 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

CHEROKEE NATION SAM HIDER COMMUNITY CLINIC 

License Number 

45-5072 

Type of Pharmacy

Retail 

Address

1015 WASHBOURNE ST

PO BOX 350

City, State, Zip 

JAY, OK  74346-0350

Country 

 

Issue Date 

01/30/2006 

Renewed Date

01/15/2016

Expiration Date 

01/31/2017 

End Date 

03/16/2016 

Replacing

45-3306

Replaced By

45-7549

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

MONTE LYNN STRUTTON - 9995

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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