Licensee Name:MODOC MEDICAL CENTER PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:41804
License Status:CANCELLED Definition
Expiration Date:November 01, 1999
Issue Date:August 22, 1996
Address:228 MC DOWELL STREET
City:ALTURAS
State:CA
Zip:96101
County:MODOC
Actions:No
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