Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
CHOCTAW NATION HEALTH CLINIC |
License Number |
25-5013 |
Type of Pharmacy |
Retail |
Address |
902 E LINCOLN RD |
City, State, Zip |
IDABEL,
OK 74745-7337 |
Country |
|
Issue Date |
04/06/2005 |
Renewed Date |
08/21/2024 |
Expiration Date |
09/30/2025 |
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 |
KIMBERLY KAY GAINES - 16973 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|