Last Updated:  12/25/2024 5:21:59 AM

Pharmacy Detail                               

Corporation / Company Owner Name

SEQUOYAH COUNTY-CITY TRUST AUTHORITY 

Business (DBA) Name  

SEQUOYAH MEMORIAL HOSPITAL OUTPATIENT PHARMACY 

License Number 

34-3876 

Type of Pharmacy

Retail 

Address

213 E REDWOOD

PO BOX 505

City, State, Zip 

SALLISAW, OK  74955-0505

Country 

 

Issue Date 

09/22/1994 

Renewed Date

09/13/2016

Expiration Date 

09/30/2017 

End Date 

08/09/2017 

Replacing

Replaced By

34-8010

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JORDAN RAE FOLKERTS - 15209

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

  • PRIMARY SOURCE VERIFICATION: The Oklahoma State Board of Pharmacy certifies that it maintains the information for the license verification function of this website, performs daily updates to the website and considers the website to be a secure, primary source for license verification.
  • 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
  • WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.