Last Updated:  12/22/2024 7:09:13 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

BILL WILLIS COMMUNITY MENTAL HEALTH CTR 

License Number 

36-4537 

Type of Pharmacy

Retail 

Address

1400 S HENSLEY DR

PO BOX 558

City, State, Zip 

TAHLEQUAH, OK  74465-0558

Country 

 

Issue Date 

08/06/2001 

Renewed Date

07/21/2009

Expiration Date 

08/31/2010 

End Date 

06/29/2010 

Replacing

36-3896

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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Case Date  

Case Number  

No Disciplinary Action 

 

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