Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

CHOCTAW NATION HEALTH CARE CENTER 

License Number 

67-4362 

Type of Pharmacy

Hospital 

Address

ONE CHOCTAW WAY

City, State, Zip 

TALIHINA, OK  74571-2022

Country 

 

Issue Date 

06/07/1999 

Renewed Date

08/16/2024

Expiration Date 

09/30/2025 

End Date 

 

Replacing

67-2919

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

Yes 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

CLINTON BULLOCK - 15401

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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