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. 10-0038 |
|
License Number |
25-3977 |
|
Type of Pharmacy |
Retail |
|
Address |
901 SE WASHINGTON |
|
City, State, Zip |
IDABEL,
OK 74745-3333 |
|
Country |
|
|
Issue Date |
09/21/1995 |
|
Renewed Date |
06/10/2003 |
|
Expiration Date |
06/30/2004 |
|
End Date |
12/11/2003 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
HOWARD C HILL SR - 8927 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|