Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
PAWNEE HILLCREST PHARMACY |
License Number |
52-8334 |
Type of Pharmacy |
Retail |
Address |
539 6TH STREET |
City, State, Zip |
PAWNEE,
OK 74058 |
Country |
|
Issue Date |
12/19/2018 |
Renewed Date |
12/13/2024 |
Expiration Date |
12/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
BROOKE TATUM - 14544 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|