Last Updated:  12/22/2024 7:09:13 PM

Pharmacy Detail                               

Corporation / Company Owner Name

AHS PRYOR HOSPITAL, LLC 

Business (DBA) Name  

HILLCREST HOSPITAL PRYOR 

License Number 

30-7901 

Type of Pharmacy

Hospital Drug Room 

Address

111 N BAILEY ST

City, State, Zip 

PRYOR, OK  74361

Country 

 

Issue Date 

04/07/2017 

Renewed Date

04/05/2024

Expiration Date 

04/30/2025 

End Date 

 

Replacing

30-7394

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JOHNNA LYNN HENRICKS - 12535

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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