Last Updated: 12/6/2025 5:24:43 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
WAL-MART STORES EAST, LP |
|
Business (DBA) Name |
WAL-MART PHARMACY NO. 10-0517 |
|
License Number |
26-4702 |
|
Type of Pharmacy |
Retail |
|
Address |
951 E STATE HWY 152 |
|
City, State, Zip |
MUSTANG,
OK 73064-5119 |
|
Country |
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|
Issue Date |
04/10/2003 |
|
Renewed Date |
06/20/2025 |
|
Expiration Date |
06/30/2026 |
|
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 |
NISSY ANU THOMAS - 15388 |
|
Status |
License in Good Standing |
|
In Process? |
|
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Disciplinary Action
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that column.
|
No Disciplinary
Action |
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