Licensee Name:MENDOCINO COAST HOSPITAL PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:16062
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:June 29, 1971
Address:700 RIVER DRIVE
City:FORT BRAGG
State:CA
Zip:95437
County:MENDOCINO
Actions:No
NumberNameTypeStatus
100148MENDOCINO COAST DISTRICT HOSPITAL PHARMACYGOVERNMENT OWNED PHARMACY OR HOSPITALCLEAR
40842LEISTER LOIS FAITHREGISTERED PHARMACISTCLEAR

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