Licensee Name:PINE GROVE HOSPITAL PHARMACY
License Type:HOSPITAL PHARMACY
License Number:40844
License Status:CANCELLED Definition
Expiration Date:May 01, 2003
Issue Date:May 04, 1995
Address:7011 SHOUP AVENUE
City:CANOGA PARK
State:CA
Zip:91307
County:LOS ANGELES
Actions:No
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