License Verification

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WAL-MART STORES EAST, LP

WALMART PHARMACY 10-5704

License Number: PH30695

Data As Of 12/23/2024

Profession
Pharmacy
License
PH30695
License Status
CLEAR/
Qualifications
Community Pharmacy
Schedule II & III
License Expiration Date
2/28/2025
License Original Issue Date
03/22/2017
Address of Record
3045 SW PORT ST LUCIE BLVD.
PORT SAINT LUCIE, FL 34953
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BEAHM, PAUL Pharmacy Affiliate Pharmacy Affiliate 01/03/2017
CAO, NHAT MINH RX DPT MGR/COR/POR Pharmacist 63598 01/18/2024
CHAPMAN, GEORGE Pharmacy Affiliate Pharmacy Affiliate 01/03/2017
LANGMAN, JAMES Pharmacy Affiliate Pharmacy Affiliate 01/03/2017
LAZENBY, ANDREA Pharmacy Affiliate Pharmacy Affiliate 01/03/2017
RIEDL, GEORGE Pharmacy Affiliate Pharmacy Affiliate 01/03/2017

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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 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.