Last Updated: 2/25/2025 7:08:28 PM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
SAPULPA INDIAN HEALTH CENTER |
License Number |
11-4109 |
Type of Pharmacy |
Retail |
Address |
1125 E CLEVELAND |
City, State, Zip |
SAPULPA,
OK 74066-4643 |
Country |
|
Issue Date |
02/21/1997 |
Renewed Date |
02/14/2025 |
Expiration Date |
02/28/2026 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
REBECCA LYNNE SMITH - 13878 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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