Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
WAL-MART STORES EAST, LP |
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0113 |
License Number |
18-3171 |
Type of Pharmacy |
Retail |
Address |
2403 PONDEROSA DR |
City, State, Zip |
CHICKASHA,
OK 73018-6898 |
Country |
|
Issue Date |
05/21/1987 |
Renewed Date |
06/07/2005 |
Expiration Date |
06/30/2006 |
End Date |
11/23/2005 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
LACI LANAE LESSIG - 11859 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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