Licensee Name:PROVIDENCE LITTLE COMPANY OF MARY MED CTR SAN PEDRO PHY
License Type:HOSPITAL PHARMACY
License Number:47226
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 01, 2005
Address:1300 WEST 7TH ST
City:SAN PEDRO
State:CA
Zip:90732
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
100129PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO PHARMALICENSED STERILE COMPOUNDINGCLEAR
27798NISHI HIROYUKIREGISTERED PHARMACISTCLEAR

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