Last Updated: 12/7/2025 7:09:23 PM
Pharmacy
Detail
|
Corporation / Company Owner Name |
|
|
Business (DBA) Name |
TELOS COMPOUNDING SOLUTIONS LLC |
|
License Number |
26-10027 |
|
Type of Pharmacy |
Retail |
|
Address |
701 N MUSTANG ROAD SUITE C |
|
City, State, Zip |
YUKON,
OK 73099 |
|
Country |
|
|
Issue Date |
09/11/2025 |
|
Renewed Date |
09/15/2025 |
|
Expiration Date |
09/30/2026 |
|
End Date |
|
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
Yes |
|
Sterile Compounding |
Yes |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
JACOBY D'SHANE GRAY - 18283 |
|
Status |
License in Good Standing |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|