Last Updated: 12/21/2024 7:07:07 PM
Pharmacy
Detail
Corporation / Company Owner Name |
WAL-MART PHARMACY NO. 10-0472 |
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0472 |
License Number |
2-3022 |
Type of Pharmacy |
Retail |
Address |
2300 E KENOSHA |
City, State, Zip |
BROKEN ARROW,
OK 74012-2039 |
Country |
|
Issue Date |
03/28/1986 |
Renewed Date |
06/25/1998 |
Expiration Date |
|
End Date |
07/29/1998 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
TODD ERNEST PENDERGRAFT - 10995 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|