Last Updated:  4/25/2024 7:07:13 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

PUSHMATAHA CNTY TOWN OF ANTLERS HOSP AUTHORITY 

License Number 

59-4779 

Type of Pharmacy

Hospital Drug Room 

Address

510 E MAIN

PO BOX 518

City, State, Zip 

ANTLERS, OK  74523-0518

Country 

 

Issue Date 

01/01/2004 

Renewed Date

12/15/2023

Expiration Date 

01/31/2025 

End Date 

 

Replacing

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

SUSAN ANN RITTER - 12766

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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