Last Updated: 12/5/2025 7:08:18 PM
Pharmacy
Detail
|
Corporation / Company Owner Name |
WAL-MART STORES EAST, LP |
|
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0113 |
|
License Number |
18-5060 |
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Type of Pharmacy |
Retail |
|
Address |
2001 S 1ST ST |
|
City, State, Zip |
CHICKASHA,
OK 73018 |
|
Country |
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Issue Date |
11/23/2005 |
|
Renewed Date |
06/20/2025 |
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Expiration Date |
06/30/2026 |
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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 |
KYLE DAVID CLARK - 16110 |
|
Status |
License in Good Standing |
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In Process? |
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Disciplinary Action
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that column.
|
06/13/2018 |
1524 |
|
Contact Board for more information. |
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