Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
FIRST BAPTIST CHURCH OF ANTLERS, OKLAHOMA, INC. |
|
Business (DBA) Name |
ANTLERS FIRST BAPTIST CHURCH FREE CLINIC |
|
License Number |
59-7935 |
|
Type of Pharmacy |
Charitable |
|
Address |
1701 W MAIN ST |
|
City, State, Zip |
ANTLERS,
OK 74523 |
|
Country |
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|
Issue Date |
05/24/2017 |
|
Renewed Date |
05/14/2025 |
|
Expiration Date |
05/31/2026 |
|
End Date |
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Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
Yes |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
CLIFFORD B. POLK - 10516 |
|
Status |
License in Good Standing |
|
In Process? |
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Disciplinary Action
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that column.
|
No Disciplinary
Action |
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