Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
LAKESIDE WOMEN'S CENTER OF OKC, LLC |
License Number |
1-4770 |
Type of Pharmacy |
Hospital Drug Room |
Address |
11200 N PORTLAND |
City, State, Zip |
OKLAHOMA CITY,
OK 73120-5045 |
Country |
|
Issue Date |
01/01/2004 |
Renewed Date |
01/13/2012 |
Expiration Date |
01/31/2013 |
End Date |
01/10/2013 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
HANH HA PHAM - 11386 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|