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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that column.
No Disciplinary
Action |
|
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