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. 10-0132 |
|
License Number |
54-3769 |
|
Type of Pharmacy |
Retail |
|
Address |
1213 S MAIN |
|
City, State, Zip |
KINGFISHER,
OK 73750-4401 |
|
Country |
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|
Issue Date |
08/20/1993 |
|
Renewed Date |
06/13/2007 |
|
Expiration Date |
06/30/2008 |
|
End Date |
09/06/2007 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
RICKY MARK OVERTON - 13081 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
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Disciplinary Action
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that column.
|
No Disciplinary
Action |
|