Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
WAL-MART STORES EAST, LP |
|
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-2804 |
|
License Number |
1-4460 |
|
Type of Pharmacy |
Retail |
|
Address |
1801 BELLE ISLE BLVD |
|
City, State, Zip |
OKLAHOMA CITY,
OK 73118-4221 |
|
Country |
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Issue Date |
07/05/2000 |
|
Renewed Date |
06/20/2025 |
|
Expiration Date |
06/30/2026 |
|
End Date |
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Replacing |
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Replaced By |
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Drug Supplier |
Yes |
|
Sterile Compounding |
No |
|
Training Area |
Yes |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
KHANH BAO HUCKLEBERRY - 18950 |
|
Status |
License in Good Standing |
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In Process? |
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Disciplinary Action
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that column.
|
04/11/2013 |
1169 |
|
Contact Board for more information. |
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