Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
EASTSIDE CLINIC PHARMACY |
License Number |
3-4561 |
Type of Pharmacy |
Retail |
Address |
1102 SE 36TH ST, STE A |
City, State, Zip |
LAWTON,
OK 73501-8458 |
Country |
|
Issue Date |
11/14/2001 |
Renewed Date |
11/02/2012 |
Expiration Date |
11/30/2013 |
End Date |
10/17/2013 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JOSEPH BRENT BRENNAN - 13187 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|