License Verification

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WAL-MART STORES EAST, LP

Walmart Pharmacy #10-4563

License Number: PH30321

Data As Of 12/23/2024

Profession
Pharmacy
License
PH30321
License Status
CLEAR/
Qualifications
Community Pharmacy
Schedule II & III
License Expiration Date
2/28/2025
License Original Issue Date
08/18/2016
Address of Record
401 E. Sheridan St
DANIA BEACH, FL 33004
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BEAHM, PAUL Pharmacy Affiliate Pharmacy Affiliate 02/10/2015
CHAPMAN, GEORGE Pharmacy Affiliate Pharmacy Affiliate 02/10/2015
CHHUOR, PHANNA RX DPT MGR/COR/POR Pharmacist 49361 09/21/2024
DIAB, LABEED Pharmacy Affiliate Pharmacy Affiliate 02/10/2015
HILAND, SUSANNE M Pharmacy Affiliate Pharmacy Affiliate 02/10/2015
LAZENBY, ANDREA Pharmacy Affiliate Pharmacy Affiliate 02/10/2015
THRASHER, AMY Pharmacy Affiliate Pharmacy Affiliate 02/10/2015

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* 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.