License Verification

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WAL-MART STORES EAST, LP Walmart Pharmacy #10-6190

License Number: PH30020

Data As Of 11/16/2024

Profession
Pharmacy
License
PH30020
License Status
CLEAR/
Qualifications
Community Pharmacy
Schedule II & III
License Expiration Date
2/28/2025
License Original Issue Date
04/06/2016
Address of Record
1951 W HICKPOCHEE AVE
LABELLE, FL 33935
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BEAHM, PAUL Pharmacy Affiliate Pharmacy Affiliate 02/03/2016
CHAPMAN, GEORGE Pharmacy Affiliate Pharmacy Affiliate 02/03/2016
IBRAHIM, MA DAIYAN RX DPT MGR/COR/POR Pharmacist 38855 05/09/2016
LANGMAN, JAMES Pharmacy Affiliate Pharmacy Affiliate 02/03/2016
LAZENBY, ANDREA Pharmacy Affiliate Pharmacy Affiliate 02/03/2016
PARVEZ, SYED MD RX DPT MGR/COR/POR Pharmacist 38186 04/04/2016
RIEDL, GEORGE Pharmacy Affiliate Pharmacy Affiliate 02/03/2016

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/16/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.