Licensee Name:STANISLAUS MEDICAL CENTER OUTPATIENT PHY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:20138
License Status:CANCELLED Definition
Expiration Date:November 01, 2005
Issue Date:October 07, 1986
Address:830 SCENIC DRIVE P O BOX 3229
City:MODESTO
State:CA
Zip:95353
County:STANISLAUS
Actions:No
NumberNameTypeStatus
99282STANISLAUS MEDICAL CTR OPT PHARMACYGOVERNMENT OWNED PHARMACY OR HOSPITALCANCELLED

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