Licensee Name:AUGUSTUS F HAWKINS MHC PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:19581
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:July 01, 1981
Address:1720 E 120TH STREET ROOM 1004
City:LOS ANGELES
State:CA
Zip:90059
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
61980NGUYEN TOM NHAT NAMREGISTERED PHARMACISTCLEAR

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