Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

FOREST COMMUNITY FREE CLINIC PHARMACY 

License Number 

31-5996 

Type of Pharmacy

Charitable 

Address

970-972 S 3430 RD

PO BOX 461

City, State, Zip 

CHANDLER, OK  74834

Country 

 

Issue Date 

07/05/2012 

Renewed Date

07/30/2015

Expiration Date 

07/31/2016 

End Date 

07/06/2016 

Replacing

Replaced By

31-7665

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

Yes 

LTC Emergency Kit

No

Pharmacist-In-Charge

CHARLES R. ELLEXSON - 8283

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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  • ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
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