Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

MEMORIAL HOSPITAL OF SOUTHERN OKLA PHCY 

Business (DBA) Name  

MEMORIAL HOSPITAL OF SOUTHERN OKLA PHCY 

License Number 

12-478 

Type of Pharmacy

Hospital 

Address

1011 14TH AVE NW

City, State, Zip 

ARDMORE, OK  73401-1889

Country 

 

Issue Date 

 

Renewed Date

07/08/1996

Expiration Date 

 

End Date 

08/30/1996 

Replacing

Replaced By

12-4056

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

SUSAN L. TIGERT - 8009

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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  • ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
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