Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
FREE MEDICAL CLINIC OF MAYES COUNTY, INC. |
License Number |
30-4563 |
Type of Pharmacy |
Charitable |
Address |
118 N ADAIR PO BOX 1429 |
City, State, Zip |
PRYOR,
OK 74362-1429 |
Country |
|
Issue Date |
12/07/2001 |
Renewed Date |
01/29/2016 |
Expiration Date |
12/31/2016 |
End Date |
06/20/2016 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JAMES MICHAEL WALLACE - 10791 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|