Last Updated:  3/29/2024 5:20:40 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

MERCY HOSPITAL TISHOMINGO INC 

License Number 

61-6202 

Type of Pharmacy

Hospital Drug Room 

Address

1000 S BYRD

City, State, Zip 

TISHOMINGO, OK  73460

Country 

 

Issue Date 

02/28/2013 

Renewed Date

01/26/2024

Expiration Date 

02/28/2025 

End Date 

 

Replacing

61-5620

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JESSICA PAIGE MULLENS - 18006

Status

License in Good Standing 

In Process?

 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.  

Case Date  

Case Number  

04/11/2013 

1168 

Contact Board for more information.

 

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