Last Updated:  6/25/2024 7:04:26 PM

Pharmacy Detail                               

Corporation / Company Owner Name

JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. 

Business (DBA) Name  

ASCENSION RX 1600 

License Number 

9-9046 

Type of Pharmacy

Retail 

Address

3500 E FRANK PHILLIPS BLVD

City, State, Zip 

BARTLESVILLE, OK  74006

Country 

 

Issue Date 

08/25/2021 

Renewed Date

08/04/2023

Expiration Date 

08/31/2024 

End Date 

 

Replacing

9-6964

Replaced By

Drug Supplier

Yes 

Sterile Compounding

No 

Training Area

Yes 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

CODY J. BROWN - 15170

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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