Last Updated:  11/25/2024 8:11:31 AM

Pharmacy Detail                               

Corporation / Company Owner Name

 

Business (DBA) Name  

JANE PHILLIPS HOSPITAL 

License Number 

9-575 

Type of Pharmacy

Hospital 

Address

3500 E FRANK PHILLIPS BLVD

City, State, Zip 

BARTLESVILLE, OK  74006-2464

Country 

 

Issue Date 

01/01/1960 

Renewed Date

05/12/2005

Expiration Date 

10/31/2006 

End Date 

05/04/2006 

Replacing

Replaced By

9-5090

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

MARC SHANNON RAFFERTY - 12133

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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