Last Updated:  12/22/2024 5:22:09 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 

 

Issue Date 

08/20/1993 

Renewed Date

06/13/2007

Expiration Date 

06/30/2008 

End Date 

09/06/2007 

Replacing

54-1891

Replaced By

54-5231

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?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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  • ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
  • WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.