Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
JACKSON COUNTY MEMORIAL HOSPITAL PHCY |
License Number |
17-1259 |
Type of Pharmacy |
Hospital |
Address |
1200 E PECAN ST |
City, State, Zip |
ALTUS,
OK 73521-6192 |
Country |
|
Issue Date |
04/30/1970 |
Renewed Date |
03/29/2024 |
Expiration Date |
04/30/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
RETA ANN EPPS BENNETT - 10045 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
08/20/1987 |
294A |
Contact Board for more information. |
|
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