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. 10-0136 

License Number 

6-3718 

Type of Pharmacy

Retail 

Address

1219 W DOOLIN

City, State, Zip 

BLACKWELL, OK  74631-1351

Country 

 

Issue Date 

09/28/1992 

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

JENNIFER ELISABETH PRATER - 14951

Status

License in Good Standing 

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.