Last Updated: 12/24/2024 5:22:34 AM
Pharmacy
Detail
Corporation / Company Owner Name |
CHOCTAW NATION OF OKLAHOMA |
Business (DBA) Name |
RUBIN WHITE HEALTH CLINIC |
License Number |
19-8533 |
Type of Pharmacy |
Retail |
Address |
109 KERR AVENUE |
City, State, Zip |
POTEAU,
OK 74953 |
Country |
|
Issue Date |
08/30/2019 |
Renewed Date |
07/26/2024 |
Expiration Date |
08/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
CANDICE L. VAUGHN - 13112 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|