Last Updated: 12/4/2025 7:08:52 PM
Pharmacy
Detail
|
Corporation / Company Owner Name |
WAL-MART PHARMACY NO. 10-0103 |
|
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0103 |
|
License Number |
10-2727 |
|
Type of Pharmacy |
Retail |
|
Address |
800 W AYRES, KICKAPOO SPUR |
|
City, State, Zip |
SHAWNEE,
OK 74801 |
|
Country |
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|
Issue Date |
10/21/1983 |
|
Renewed Date |
06/06/1988 |
|
Expiration Date |
|
|
End Date |
02/03/1989 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
T. TERRY SIRIBANDAN - 10249 |
|
Status |
CLOSED |
|
In Process? |
|
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Disciplinary Action
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that column.
|
No Disciplinary
Action |
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