Last Updated:  11/24/2024 7:05:54 PM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

CHICKASAW NATION REFILL CENTER 

License Number 

23-5613 

Type of Pharmacy

Retail 

Address

933 N COUNTRY CLUB RD

City, State, Zip 

ADA, OK  74820

Country 

 

Issue Date 

01/04/2011 

Renewed Date

12/01/2023

Expiration Date 

01/31/2025 

End Date 

 

Replacing

23-3879

Replaced By

Drug Supplier

Yes 

Sterile Compounding

No 

Training Area

Yes 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

THOMAS DUANE SELLERS - 12298

Status

License in Good Standing 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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