Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

INTENSIVA HOSPITAL OF EASTERN OKLA PHCY 

Business (DBA) Name  

INTENSIVA HOSPITAL OF EASTERN OKLA PHCY 

License Number 

4-4061 

Type of Pharmacy

Hospital 

Address

300 ROCKEFELLER DR

City, State, Zip 

MUSKOGEE, OK  74401-5081

Country 

 

Issue Date 

09/09/1996 

Renewed Date

06/25/1998

Expiration Date 

 

End Date 

02/01/1999 

Replacing

4-3995

Replaced By

4-4340

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

MARK W. WEBB - 11179

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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