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. 10-0168 |
License Number |
2-4465 |
Type of Pharmacy |
Retail |
Address |
12101 E 96TH ST N |
City, State, Zip |
OWASSO,
OK 74055-5320 |
Country |
|
Issue Date |
07/28/2000 |
Renewed Date |
06/14/2024 |
Expiration Date |
06/30/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
Yes |
Sterile Compounding |
No |
Training Area |
Yes |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
AMY DAWN DWIGGINS - 13727 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|