Last Updated: 12/23/2024 5:22:52 AM
Pharmacy
Detail
Corporation / Company Owner Name |
BILL WILLIS COMMUNITY MENTAL HEALTH CTR |
Business (DBA) Name |
BILL WILLIS COMMUNITY MENTAL HEALTH CTR |
License Number |
36-3896 |
Type of Pharmacy |
Retail |
Address |
1200 W 4TH ST P.O. BOX 558 |
City, State, Zip |
TAHLEQUAH,
OK 74465-0558 |
Country |
|
Issue Date |
01/03/1995 |
Renewed Date |
06/06/2001 |
Expiration Date |
|
End Date |
08/06/2001 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
WALTER M. KINNEY - 7864 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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