Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
GUARDIAN PHARMACY OF OKLAHOMA, LLC |
Business (DBA) Name |
BOOMER SOLUTIONS OF TULSA |
License Number |
2-7574 |
Type of Pharmacy |
Retail |
Address |
5415 S 125TH E AVE, STE 201-203 |
City, State, Zip |
TULSA,
OK 74146 |
Country |
|
Issue Date |
03/30/2016 |
Renewed Date |
04/01/2016 |
Expiration Date |
03/31/2017 |
End Date |
01/04/2017 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
RICKY E. BURGESS - 15155 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|