Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
CHICKASAW NATION HEALTH SYSTEM |
|
Business (DBA) Name |
CHICKASAW NATION FAMILY PRACTICE CENTER |
|
License Number |
23-4219 |
|
Type of Pharmacy |
Retail |
|
Address |
1007 N COUNTRY CLUB RD |
|
City, State, Zip |
ADA,
OK 74820-2847 |
|
Country |
|
|
Issue Date |
11/06/1997 |
|
Renewed Date |
11/01/2006 |
|
Expiration Date |
11/30/2007 |
|
End Date |
07/06/2007 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
HUGH EDWARD WORK - 13115 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
|
No Disciplinary
Action |
|