Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

BLACKWELL HMA, LLC 

Business (DBA) Name  

BLACKWELL REGIONAL HOSPITAL 

License Number 

6-7023 

Type of Pharmacy

Hospital Drug Room 

Address

710 S 13TH ST

City, State, Zip 

BLACKWELL, OK  74631

Country 

 

Issue Date 

01/14/2015 

Renewed Date

01/16/2015

Expiration Date 

01/31/2016 

End Date 

08/19/2015 

Replacing

6-5901

Replaced By

6-7383

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JANE ANN IRELAND - 8761

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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