Last Updated: 12/6/2025 7:09:57 PM
Pharmacy
Detail
|
Corporation / Company Owner Name |
|
|
Business (DBA) Name |
CHEROKEE NATION SAM HIDER COMMUNITY CLINIC |
|
License Number |
45-5072 |
|
Type of Pharmacy |
Retail |
|
Address |
1015 WASHBOURNE ST PO BOX 350 |
|
City, State, Zip |
JAY,
OK 74346-0350 |
|
Country |
|
|
Issue Date |
01/30/2006 |
|
Renewed Date |
01/15/2016 |
|
Expiration Date |
01/31/2017 |
|
End Date |
03/16/2016 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
MONTE LYNN STRUTTON - 9995 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|