Last Updated: 1/1/2025 7:06:57 PM
Pharmacy
Detail
Corporation / Company Owner Name |
TAHLEQUAH HOSPITAL AUTHORITY |
Business (DBA) Name |
NORTHEASTERN HEALTH SYSTEM RMOP |
License Number |
36-8196 |
Type of Pharmacy |
RMOP In-State |
Address |
1400 E DOWNING |
City, State, Zip |
TAHLEQUAH,
OK 74464 |
Country |
|
Issue Date |
05/02/2018 |
Renewed Date |
05/17/2024 |
Expiration Date |
05/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
STEFANIE PONTEAH STOGSDILL - 14725 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|