Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

WAL-MART PHARMACY NO. 10-0479 

Business (DBA) Name  

WAL-MART PHARMACY NO. 10-0479 

License Number 

17-3895 

Type of Pharmacy

Retail 

Address

2720 N MAIN

City, State, Zip 

ALTUS, OK  73521

Country 

 

Issue Date 

01/03/1995 

Renewed Date

07/03/1995

Expiration Date 

 

End Date 

07/21/1995 

Replacing

17-3411

Replaced By

17-3954

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

DIANE E. ROACH - 9075

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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  • ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
  • WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.