Licensee Name:SOBOBA INDIAN HEALTH CLINIC PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:30397
License Status:CANCELLED Definition
Expiration Date:November 01, 1996
Issue Date:February 24, 1984
Address:1520 SAN JACINTO STREET SUITE 9
City:SAN JACINTO
State:CA
Zip:92383
County:RIVERSIDE
Actions:No
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