Licensee Name:ST HELENA HOSPITAL CLEARLAKE
License Type:HOSPITAL PHARMACY
License Number:43172
License Status:CLEAR Definition
Expiration Date:August 01, 2015
Issue Date:August 06, 1998
Address:15630 18TH AVE & HWY 53
City:CLEARLAKE
State:CA
Zip:95422
County:LAKE
Actions:No
NumberNameTypeStatus
100039ST HELENA HOSPITAL CLEAR LAKE HOSPITAL PHARMACYLICENSED STERILE COMPOUNDINGCLEAR
66989SHELTON JACARRE LYNNREGISTERED PHARMACISTCLEAR

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