Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
FAIRFAX MEMORIAL HOSPITAL, INC. |
License Number |
16-4764 |
Type of Pharmacy |
Hospital Drug Room |
Address |
HWY 18 & TAFT AVE PO BOX 219 |
City, State, Zip |
FAIRFAX,
OK 74637-0219 |
Country |
|
Issue Date |
01/01/2004 |
Renewed Date |
06/28/2004 |
Expiration Date |
06/30/2005 |
End Date |
09/03/2004 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
PATRICIA RUTH PEUGH - 7047 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|