Licensee Name:VISTA SPECIALTY HSP OF SAN GABRIEL
License Type:DRUG ROOM
License Number:46564
License Status:CANCELLED Definition
Expiration Date:October 01, 2005
Issue Date:October 20, 2003
Address:14148 FRANCISQUITO AVE
City:BALDWIN PARK
State:CA
Zip:91706
County:LOS ANGELES
Actions:No
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