Last Updated: 11/24/2024 7:05:54 PM
Pharmacy
Detail
Corporation / Company Owner Name |
WAL-MART STORES EAST, LP |
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0231 |
License Number |
23-3873 |
Type of Pharmacy |
Retail |
Address |
1419 N COUNTRY CLUB RD |
City, State, Zip |
ADA,
OK 74820-1836 |
Country |
|
Issue Date |
09/07/1994 |
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 |
JOHN EDWARD SUTRICK - 15506 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
Click on any of the Underlined headings to sort by
that column.
No Disciplinary
Action |
|
|