Last Updated:  4/25/2024 7:07:13 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

CHICKASAW NATION HEALTH CENTER 

License Number 

61-3471 

Type of Pharmacy

Retail 

Address

815 E 6TH ST

City, State, Zip 

TISHOMINGO, OK  73460-1800

Country 

 

Issue Date 

02/20/1990 

Renewed Date

01/13/2012

Expiration Date 

02/28/2013 

End Date 

02/06/2013 

Replacing

Replaced By

61-6174

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JASON CHARLES GRAY - 13071

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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