Last Updated: 12/21/2024 7:07:07 PM
Facility DetailCorporation / Company Owner Name | MEDICAL SUPPORT SERVICES OF OKLAHOMA |
Business (DBA) Name | EDGEWATER PHARMACY |
License Number | 1-P-193 |
Facility Type | Repackager |
Address |
6436 N PORTLAND |
City, State, Zip | OKLAHOMA CITY,OK 73116-2000 |
Country | |
Issue Date | 06/26/1987 |
Renewed Date | 06/30/1989 |
Expiration Date | |
Renewal Month | |
End Date | 03/19/1990 |
Status | CLOSED |
In Process? | |
Disciplinary
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