Last Updated: 1/13/2025 5:21:18 AM
Pharmacy
Detail
Corporation / Company Owner Name |
PIETA PHARMACY |
Business (DBA) Name |
MISSION HOSPICE, LLC |
License Number |
1-4708 |
Type of Pharmacy |
Retail |
Address |
515 CENTRAL PARK, STE 107 |
City, State, Zip |
OKLAHOMA CITY,
OK 73105-1704 |
Country |
|
Issue Date |
05/21/2003 |
Renewed Date |
05/05/2006 |
Expiration Date |
05/31/2007 |
End Date |
03/22/2007 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DEANNE RAE JACOBS - 10821 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|