Last Updated:  4/23/2024 7:04:02 PM

Pharmacy Detail                               

Corporation / Company Owner Name

LI-SI-WI-NWI HEALTH, INC. 

Business (DBA) Name  

ABSENTEE SHAWNEE TRIBAL CLINIC PHARMACY 

License Number 

7-5544 

Type of Pharmacy

Retail 

Address

15702 E HWY 9

City, State, Zip 

NORMAN, OK  73071

Country 

 

Issue Date 

09/21/2010 

Renewed Date

09/12/2011

Expiration Date 

09/30/2012 

End Date 

05/09/2012 

Replacing

7-4020

Replaced By

7-5950

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JACK RAY OGDEN - 8699

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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