Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

OWASSO MEDICAL FACILITY, INC. 

Business (DBA) Name  

ST. JOHN OWASSO 

License Number 

2-5795 

Type of Pharmacy

Hospital 

Address

12451 E 100TH ST N

City, State, Zip 

OWASSO, OK  74055-4600

Country 

 

Issue Date 

09/30/2011 

Renewed Date

09/05/2019

Expiration Date 

09/30/2020 

End Date 

10/11/2019 

Replacing

2-5121

Replaced By

2-8557

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

LORI D. KYLE - 11491

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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