Last Updated:  12/21/2024 7:07:07 PM

Pharmacy Detail                               

Corporation / Company Owner Name

WAL-MART STORES EAST, LP 

Business (DBA) Name  

WAL-MART PHARMACY NO. 10-0838 

License Number 

2-4722 

Type of Pharmacy

Retail 

Address

220 S STATE HWY 97

City, State, Zip 

SAND SPRINGS, OK  74063

Country 

 

Issue Date 

07/31/2003 

Renewed Date

06/06/2024

Expiration Date 

06/30/2025 

End Date 

 

Replacing

2-2989

Replaced By

Drug Supplier

Yes 

Sterile Compounding

No 

Training Area

Yes 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

KYLE ALLEN RUSSELL - 17542

Status

License in Good Standing 

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.