Licensee Name:PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE PHY
License Type:HOSPITAL PHARMACY
License Number:47224
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 01, 2005
Address:4101 TORRANCE BLVD
City:TORRANCE
State:CA
Zip:90503
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
100477PROVIDENCE LITTLE CO OF MARY MED CTR TORRANCELICENSED STERILE COMPOUNDINGCLEAR
36350BHOLAT MUNAVER HREGISTERED PHARMACISTCLEAR

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