Last Updated:  11/21/2024 7:05:00 PM

Pharmacy Detail                               

Corporation / Company Owner Name

IMMANUEL BAPTIST CHURCH 

Business (DBA) Name  

LIVING WATER COMMUNITY CLINIC 

License Number 

6-6205 

Type of Pharmacy

Charitable 

Address

706 S 13TH ST

City, State, Zip 

BLACKWELL, OK  74631

Country 

 

Issue Date 

03/07/2013 

Renewed Date

03/10/2021

Expiration Date 

03/31/2022 

End Date 

12/09/2021 

Replacing

Replaced By

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JANE ANN IRELAND - 8761

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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