Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

USPHS INDIAN HEALTH SERVICE 

Business (DBA) Name  

WHITE EAGLE INDIAN HEALTH CENTER 

License Number 

6-2940 

Type of Pharmacy

Retail 

Address

5 MI S OF HWY 60 ON HWY177

P.O. BOX 2071

City, State, Zip 

PONCA CITY, OK  74602-2071

Country 

 

Issue Date 

08/13/1985 

Renewed Date

07/14/1999

Expiration Date 

 

End Date 

04/07/2000 

Replacing

Replaced By

6-4437

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

CYNTHIA COTTER CARTER - 10314

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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