Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
MED-X DRUG NO. 11 |
License Number |
2-1476 |
Type of Pharmacy |
Retail |
Address |
1714 UTICA SQUARE |
City, State, Zip |
TULSA,
OK 74114-1400 |
Country |
|
Issue Date |
05/08/1972 |
Renewed Date |
12/06/2012 |
Expiration Date |
11/30/2013 |
End Date |
04/03/2013 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
NNEDI EZENWA - 12304 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|