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. 10-3756 |
License Number |
51-6875 |
Type of Pharmacy |
Retail |
Address |
124 E COLUMBIA ST |
City, State, Zip |
OKEMAH,
OK 74859 |
Country |
|
Issue Date |
09/12/2014 |
Renewed Date |
06/17/2015 |
Expiration Date |
06/30/2016 |
End Date |
01/29/2016 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
TERRY LEE VARNER - 10897 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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