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. 10-1278 |
License Number |
56-4044 |
Type of Pharmacy |
Retail |
Address |
1506 FIR ST |
City, State, Zip |
PERRY,
OK 73077-5004 |
Country |
|
Issue Date |
07/02/1996 |
Renewed Date |
07/01/2016 |
Expiration Date |
06/30/2017 |
End Date |
06/28/2017 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
DEANNE HELEN RUTH MOORE - 11193 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|