Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

MERCY HOSPITAL WATONGA, INC. 

License Number 

49-5998 

Type of Pharmacy

Hospital Drug Room 

Address

500 N CLARENCE NASH BLVD

City, State, Zip 

WATONGA, OK  73772-0370

Country 

 

Issue Date 

07/05/2012 

Renewed Date

07/12/2024

Expiration Date 

07/31/2025 

End Date 

 

Replacing

49-4812

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

MARETTE ELAINE FORMAN - 11398

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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