Last Updated: 12/22/2024 7:09:13 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
MERCY HOSPITAL TISHOMINGO INC |
License Number |
61-6202 |
Type of Pharmacy |
Hospital Drug Room |
Address |
1000 S BYRD |
City, State, Zip |
TISHOMINGO,
OK 73460 |
Country |
|
Issue Date |
02/28/2013 |
Renewed Date |
01/26/2024 |
Expiration Date |
02/28/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JESSICA PAIGE MULLENS - 18006 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
04/11/2013 |
1168 |
Contact Board for more information. |
|
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