Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
JANE PHILLIPS MEMORIAL MEDICAL CENTER INC |
Business (DBA) Name |
ASCENSION ST. JOHN JANE PHILLIPS OUTPATIENT SURGERY CENTER |
License Number |
9-8561 |
Type of Pharmacy |
Hospital Drug Room |
Address |
230 SE HOWARD AVENUE |
City, State, Zip |
BARTLESVILLE,
OK 74006 |
Country |
|
Issue Date |
10/11/2019 |
Renewed Date |
09/16/2024 |
Expiration Date |
10/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
TINA MAE THENNES - 10582 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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