Last Updated: 12/24/2024 7:08:15 PM
Pharmacy
Detail
Corporation / Company Owner Name |
PHAROMOLGY TISHOMINGO |
Business (DBA) Name |
GENE LAFITTE PHARMACY |
License Number |
61-8675 |
Type of Pharmacy |
Retail |
Address |
140 E MAIN |
City, State, Zip |
TISHOMINGO,
OK 73460 |
Country |
|
Issue Date |
04/14/2020 |
Renewed Date |
04/15/2020 |
Expiration Date |
04/30/2021 |
End Date |
07/10/2020 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MARK WARREN ECK - 8666 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|