Last Updated: 5/2/2024 5:21:58 AM
Pharmacy
Detail
Corporation / Company Owner Name |
WAL-MART STORES EAST, LP |
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0389 |
License Number |
1-4223 |
Type of Pharmacy |
Retail |
Address |
3200 S BROADWAY ST |
City, State, Zip |
EDMOND,
OK 73013-4035 |
Country |
|
Issue Date |
11/21/1997 |
Renewed Date |
06/27/2006 |
Expiration Date |
06/30/2007 |
End Date |
08/23/2006 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
LORI JANE STEVENS - 11442 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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