Last Updated: 11/22/2024 5:20:19 AM
Pharmacy
Detail
Corporation / Company Owner Name |
|
Business (DBA) Name |
MERCY HOSPITAL ARDMORE, INC. |
License Number |
12-6218 |
Type of Pharmacy |
Hospital |
Address |
(PHARMACY DEPARTMENT) 1011 14TH AVE NW |
City, State, Zip |
ARDMORE,
OK 73401-1889 |
Country |
|
Issue Date |
03/15/2013 |
Renewed Date |
03/08/2024 |
Expiration Date |
03/31/2025 |
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 |
AUSTIN WAYNE CRISSMAN - 18919 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|