Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
WAL-MART PHARMACY NO. 10-0022 |
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0022 |
License Number |
30-2402 |
Type of Pharmacy |
Retail |
Address |
HIGHWAY 69 SOUTH |
City, State, Zip |
PRYOR,
OK 74361 |
Country |
|
Issue Date |
09/11/1980 |
Renewed Date |
06/13/1988 |
Expiration Date |
|
End Date |
03/08/1989 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
PETER O. FOWLER, III - 9258 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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