Last Updated:  4/18/2024 5:20:16 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

PURCELL MUNICIPAL HOSPITAL 

License Number 

47-4785 

Type of Pharmacy

Hospital Drug Room 

Address

1500 N GREEN AVE

PO BOX 511

City, State, Zip 

PURCELL, OK  73080-0511

Country 

 

Issue Date 

01/01/2004 

Renewed Date

01/05/2022

Expiration Date 

01/31/2023 

End Date 

03/03/2023 

Replacing

Replaced By

47-9295

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

SPENCER RYAN WHITTENBERG - 17022

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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