Last Updated: 12/7/2025 5:23:56 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
WAL-MART STORES EAST, LP |
|
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-1043 |
|
License Number |
22-3192 |
|
Type of Pharmacy |
Retail |
|
Address |
1340 W GRANT PO BOX 938 |
|
City, State, Zip |
PAULS VALLEY,
OK 73075-0938 |
|
Country |
|
|
Issue Date |
08/11/1987 |
|
Renewed Date |
06/27/2006 |
|
Expiration Date |
06/30/2007 |
|
End Date |
05/02/2007 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
CATHY SUE ALFRED - 10581 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
|
No Disciplinary
Action |
|