Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
THE PHARMACY OF POCOLA |
License Number |
19-4449 |
Type of Pharmacy |
Retail |
Address |
102 E FOLSOM BLVD |
City, State, Zip |
POCOLA,
OK 74902-3150 |
Country |
|
Issue Date |
05/17/2000 |
Renewed Date |
05/23/2024 |
Expiration Date |
05/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
CLAY TYLER HAISTEN - 11522 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
05/15/2013 |
1183 |
05/15/2018 |
1183 |
Contact Board for more information. |
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