Licensee Name:CA MED FACILITY - VACAVILLE PSYCH PROG
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:46118
License Status:CANCELLED Definition
Expiration Date:November 01, 2008
Issue Date:October 11, 2002
Address:1600 CALIFORNIA DR STE A1M
City:VACAVILLE
State:CA
Zip:95687
County:SOLANO
Actions:No
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