Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
WAL-MART PHARMACY NO. 10-0103 |
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0103 |
License Number |
10-2727 |
Type of Pharmacy |
Retail |
Address |
800 W AYRES, KICKAPOO SPUR |
City, State, Zip |
SHAWNEE,
OK 74801 |
Country |
|
Issue Date |
10/21/1983 |
Renewed Date |
06/06/1988 |
Expiration Date |
|
End Date |
02/03/1989 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
T. TERRY SIRIBANDAN - 10249 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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