Licensee Name:PROVIDENCE SAINT JOHN'S HEALTH CENTER
License Type:HOSPITAL PHARMACY
License Number:51804
License Status:CLEAR Definition
Expiration Date:May 01, 2015
Issue Date:February 28, 2014
Address:2121 SANTA MONICA BLVD
City:SANTA MONICA
State:CA
Zip:90404
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
100217PROVIDENCE SAINT JOHN'S HEALTH CENTER- MAIN PHARMACYLICENSED STERILE COMPOUNDINGCLEAR
100221PROVIDENCE SAINT JOHN'S HEALTH CENTER- SATELLITE PHARMACYLICENSED STERILE COMPOUNDINGCLEAR
35825LEE JOHN TONGREGISTERED PHARMACISTCLEAR

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