Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
FAIRFAX HEALTHCARE PROPERTIES, LLC |
Business (DBA) Name |
FAIRFAX MEMORIAL HOSPITAL |
License Number |
16-4908 |
Type of Pharmacy |
Hospital Drug Room |
Address |
HWY 18 & TAFT AVE |
City, State, Zip |
FAIRFAX,
OK 74637 |
Country |
|
Issue Date |
09/03/2004 |
Renewed Date |
09/11/2009 |
Expiration Date |
09/30/2010 |
End Date |
02/19/2010 |
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 |
|
|