Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
LTAC HOSPITAL OF EDMOND, LLC |
Business (DBA) Name |
OKC-AMG SPECIALTY HOSPITAL |
License Number |
1-9048 |
Type of Pharmacy |
Hospital |
Address |
4300 W MEMORIAL RD 2ND FLOOR |
City, State, Zip |
OKLAHOMA CITY,
OK 73120 |
Country |
|
Issue Date |
09/08/2021 |
Renewed Date |
09/06/2024 |
Expiration Date |
09/30/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JAMES MARTIN SIPOLS - 13108 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
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