Last Updated: 1/3/2025 5:21:21 AM
Pharmacy
Detail
Corporation / Company Owner Name |
CHEROKEE NATION PRIMARY HEALTH CARE CLINIC |
Business (DBA) Name |
NOWATA CHEROKEE NATION CLINIC PHARMACY |
License Number |
53-3429 |
Type of Pharmacy |
Retail |
Address |
304 W CHEROKEE |
City, State, Zip |
NOWATA,
OK 74048-2607 |
Country |
|
Issue Date |
07/27/1989 |
Renewed Date |
06/19/1996 |
Expiration Date |
|
End Date |
05/07/1997 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
KELLY SHAWN HUMPHREYS - 11651 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|