Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
LI-SI-WI-NWI HEALTH, INC. |
Business (DBA) Name |
ABSENTEE SHAWNEE TRIBAL CLINIC PHARMACY |
License Number |
7-5544 |
Type of Pharmacy |
Retail |
Address |
15702 E HWY 9 |
City, State, Zip |
NORMAN,
OK 73071 |
Country |
|
Issue Date |
09/21/2010 |
Renewed Date |
09/12/2011 |
Expiration Date |
09/30/2012 |
End Date |
05/09/2012 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JACK RAY OGDEN - 8699 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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