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. 10-0178 |
License Number |
50-4161 |
Type of Pharmacy |
Retail |
Address |
914 E OKLAHOMA BLVD |
City, State, Zip |
ALVA,
OK 73717-4010 |
Country |
|
Issue Date |
04/24/1997 |
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 |
GEOFFREY DAVID ELLIOTT - 17586 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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