Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM |
License Number |
2-5275 |
Type of Pharmacy |
Hospital Drug Room |
Address |
RIVERSIDE FACILITY 1027 E 66TH PL |
City, State, Zip |
TULSA,
OK 74136-3701 |
Country |
|
Issue Date |
01/03/2008 |
Renewed Date |
01/29/2009 |
Expiration Date |
01/31/2010 |
End Date |
11/12/2009 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DEBRA DUFOUR - |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|