Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC |
Business (DBA) Name |
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM PHARMACY |
License Number |
2-5487 |
Type of Pharmacy |
Retail |
Address |
1027 E 66TH PL |
City, State, Zip |
TULSA,
OK 74136-3701 |
Country |
|
Issue Date |
11/12/2009 |
Renewed Date |
10/26/2018 |
Expiration Date |
11/30/2019 |
End Date |
04/06/2019 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
REBECCA HUNTZE BROWN - 14314 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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