Last Updated:  4/20/2024 5:20:53 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

CHICKASAW NATION TISHOMINGO HEALTH CLINIC 

License Number 

61-6174 

Type of Pharmacy

Retail 

Address

817 E 6TH ST

City, State, Zip 

TISHOMINGO, OK  73460

Country 

 

Issue Date 

02/06/2013 

Renewed Date

01/12/2024

Expiration Date 

02/28/2025 

End Date 

 

Replacing

61-3471

Replaced By

Drug Supplier

Yes 

Sterile Compounding

No 

Training Area

Yes 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JASON CHARLES GRAY - 13071

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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