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. 10-1043 |
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
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that column.
No Disciplinary
Action |
|
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