Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
FIRST BAPTIST CHURCH OF ANTLERS, OKLAHOMA, INC. |
Business (DBA) Name |
ANTLERS FIRST BAPTIST CHURCH FREE CLINIC |
License Number |
59-5847 |
Type of Pharmacy |
Charitable |
Address |
511 E MAIN ST |
City, State, Zip |
ANTLERS,
OK 74523 |
Country |
|
Issue Date |
01/05/2012 |
Renewed Date |
01/25/2017 |
Expiration Date |
01/31/2018 |
End Date |
05/24/2017 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
CLIFFORD B. POLK - 10516 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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