Licensee Name:ANTELOPE VLY REHAB CTR WARM SPRING
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:17375
License Status:CANCELLED Definition
Expiration Date:November 01, 1995
Issue Date:January 11, 1984
Address:38200 LAKE HUGHES RD
City:CASTAIC
State:CA
Zip:91310
County:LOS ANGELES
Actions:No
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