Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

INTEGRIS HEALTH PONCA CITY HOSPITAL INC. 

License Number 

6-9556 

Type of Pharmacy

Hospital 

Address

ATTN: PHARMACY

1900 N. 14TH STREET

City, State, Zip 

PONCA CITY, OK  74601

Country 

 

Issue Date 

10/06/2023 

Renewed Date

10/24/2024

Expiration Date 

10/31/2025 

End Date 

 

Replacing

6-7393

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

Yes 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JERRY BRYANT WILLIAMS - 11793

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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