Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CHOCTAW NATION HEALTH CLINIC PHCY |
License Number |
25-2921 |
Type of Pharmacy |
Retail |
Address |
205 E 3RD |
City, State, Zip |
BROKEN BOW,
OK 74828 |
Country |
|
Issue Date |
07/12/1985 |
Renewed Date |
06/30/2004 |
Expiration Date |
06/30/2005 |
End Date |
06/01/2005 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JILL D. ANDERSON - 11219 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|