License Verification

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WAL-MART STORES EAST LP WALMART PHARMACY #10-6149

License Number: PH31109

Data As Of 11/16/2024

Profession
Pharmacy
License
PH31109
License Status
CLEAR/
Qualifications
Schedule II & III
Community Pharmacy
License Expiration Date
2/28/2025
License Original Issue Date
12/28/2017
Address of Record
13801 LANDSTAR BLVD
ORLANDO, FL 32824
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BEAHM, PAUL Pharmacy Affiliate Pharmacy Affiliate 10/04/2017
CHAPMAN, GEORGE Pharmacy Affiliate Pharmacy Affiliate 10/04/2017
LAZENBY, ANDREA Pharmacy Affiliate Pharmacy Affiliate 10/04/2017
RIEDL, GEORGE Pharmacy Affiliate Pharmacy Affiliate 10/04/2017
RODER, ALYSSA ANN RX DPT MGR/COR/POR Pharmacist 56919 04/07/2021

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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.