Last Updated: 1/9/2025 5:22:10 AM
Pharmacy
Detail
Corporation / Company Owner Name |
MERCY TISHOMINGO HOSPITAL CORPORATION |
Business (DBA) Name |
MERCY HOSPITAL TISHOMINGO |
License Number |
61-5620 |
Type of Pharmacy |
Hospital Drug Room |
Address |
1000 S BYRD |
City, State, Zip |
TISHOMINGO,
OK 73460 |
Country |
|
Issue Date |
01/13/2011 |
Renewed Date |
01/13/2012 |
Expiration Date |
01/31/2013 |
End Date |
02/28/2013 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DENNIS RAY JENKINS - 9521 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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