Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
NEW SPRING PHARMACY, LLC |
License Number |
11-8986 |
Type of Pharmacy |
Retail |
Address |
3462 W 151ST STREET |
City, State, Zip |
KIEFER,
OK 74041 |
Country |
|
Issue Date |
06/16/2021 |
Renewed Date |
07/08/2022 |
Expiration Date |
06/30/2023 |
End Date |
10/20/2022 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
FARON L. MOORE - 11118 |
Status |
Revoked |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
09/14/2022 |
1640 |
Contact Board for more information. |
|
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