Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
PROVIDENTIA LLC |
Business (DBA) Name |
FREELAND BROWN PHARMACY |
License Number |
2-8703 |
Type of Pharmacy |
Retail |
Address |
4112 S PEORIA AVENUE |
City, State, Zip |
TULSA,
OK 74105 |
Country |
|
Issue Date |
05/29/2020 |
Renewed Date |
06/14/2024 |
Expiration Date |
05/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
KENDAL A. WOLFE - 14734 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|