License Verification

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WAL-MART STORES EAST, LP Walmart Pharmacy #10-6967

License Number: PH29225

Data As Of 12/2/2024

Profession
Pharmacy
License
PH29225
License Status
CLEAR/
Qualifications
Community Pharmacy
License Expiration Date
2/28/2025
License Original Issue Date
07/07/2015
Address of Record
4105 S. STATE ROAD 7
LAKE WORTH, FL 33449
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ANTUNA, ANGELA MARIA Pharmacy Affiliate Pharmacist 46580 05/19/2021
BEAHM, PAUL Pharmacy Affiliate Pharmacy Affiliate 03/18/2015
CICCIO, INEZ CARIDAD RX DPT MGR/COR/POR Pharmacist 48281 12/21/2021
HILAND, SUSANNE M Pharmacy Affiliate Pharmacy Affiliate 03/18/2015
LEWIS, DIJUANA Pharmacy Affiliate Pharmacy Affiliate 03/18/2015

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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 12/2/2024



* 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.