Licensee Name:ST JUDE HOSPITAL
License Type:HOSPITAL PHARMACY
License Number:8111
License Status:CLEAR Definition
Expiration Date:July 01, 2015
Issue Date:July 06, 1962
Address:101 E VALENCIA MESA DR
NW TOWER 1ST FLOOR
City:FULLERTON
State:CA
Zip:92835
County:ORANGE
Actions:No
NumberNameTypeStatus
100112ST JUDE MEDICAL CENTER CENTRAL PHARMACY STERILE PRODUCTS ROOMLICENSED STERILE COMPOUNDINGCLEAR
100113ST JUDE MEDICAL CENTER CRITICAL CARE SATELLITELICENSED STERILE COMPOUNDINGCLEAR
100114ST JUDE MEDICAL CENTER EMERGENCY DEPARTMENT MEDICATION ROOMLICENSED STERILE COMPOUNDINGCLEAR
100687ST JUDE MEDICAL CENTER NW TOWER SURGERY SATELLITELICENSED STERILE COMPOUNDINGCLEAR
100688ST. JUDE MEDICAL CENTER PHARMACY STERILE PRODUCT ROOMLICENSED STERILE COMPOUNDINGCLEAR
35626MILLER DONALD R JRREGISTERED PHARMACISTCLEAR

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