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

3-6455

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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Case Date  

Case Number  

No Disciplinary Action 

 

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