Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
BRISTOW MEDICAL CENTER FREE CLINIC |
License Number |
11-4907 |
Type of Pharmacy |
Charitable |
Address |
408 W 4TH |
City, State, Zip |
BRISTOW,
OK 74010-2702 |
Country |
|
Issue Date |
09/03/2004 |
Renewed Date |
09/27/2013 |
Expiration Date |
09/30/2014 |
End Date |
03/25/2014 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
LETHA VIRGINIA RAY - 8637 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|