Licensee Name:ANTELOPE VALLEY HSP DISTRICT PHY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:34992
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 02, 1988
Address:1600 WEST AVENUE J
City:LANCASTER
State:CA
Zip:93534
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
27830ELLIOTT EVELYN KATHLEENREGISTERED PHARMACISTCLEAR
99904ANTELOPE VALLEY HOSPITAL DISTRICT PHARMACYGOVERNMENT OWNED PHARMACY OR HOSPITALCLEAR

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