Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
WAL-MART PHARMACY NO. 10-0053 |
|
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0053 |
|
License Number |
2-2399 |
|
Type of Pharmacy |
Retail |
|
Address |
708 W KENOSHA |
|
City, State, Zip |
BROKEN ARROW,
OK 74012-8913 |
|
Country |
|
|
Issue Date |
09/11/1980 |
|
Renewed Date |
07/10/1990 |
|
Expiration Date |
|
|
End Date |
08/06/1990 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
LAURENCE RAY WASSON - 8631 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
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Disciplinary Action
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that column.
|
No Disciplinary
Action |
|