Last Updated: 11/21/2024 7:05:00 PM
Pharmacy
Detail
Corporation / Company Owner Name |
HAVEN BEHAVIORAL HEALTHCARE, INC. |
Business (DBA) Name |
ROLLING HILLS HOSPITAL |
License Number |
23-5234 |
Type of Pharmacy |
Hospital Drug Room |
Address |
1000 ROLLING HILLS LN |
City, State, Zip |
ADA,
OK 74820-9415 |
Country |
|
Issue Date |
09/07/2007 |
Renewed Date |
09/16/2011 |
Expiration Date |
09/30/2012 |
End Date |
09/18/2012 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
JERALD WAYNE WOLF - 9316 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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