Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
MEDICENTER, INC. |
Business (DBA) Name |
MEDICENTER PHARMACY |
License Number |
3-2800 |
Type of Pharmacy |
Retail |
Address |
NO. 1 GOODYEAR BOULEVARD |
City, State, Zip |
LAWTON,
OK 73505-9737 |
Country |
|
Issue Date |
07/31/1984 |
Renewed Date |
07/20/1992 |
Expiration Date |
|
End Date |
08/25/1992 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
TONY GLEN HAYNIE - 9864 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|