Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

KINGFISHER REGIONAL HOSPITAL 

License Number 

54-5852 

Type of Pharmacy

Hospital Drug Room 

Address

1000 KINGFISHER REGIONAL HOSPITAL DRIVE

City, State, Zip 

KINGFISHER, OK  73750

Country 

 

Issue Date 

01/12/2012 

Renewed Date

01/04/2013

Expiration Date 

01/31/2014 

End Date 

09/19/2013 

Replacing

54-5461

Replaced By

54-6420

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

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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