Licensee Name:CALIFORNIA MENS COLONY PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:19558
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 01, 1984
Address:EAST FACILITY HIGHWAY 1 HOSPITAL 1ST FLR
RM C170
City:SAN LUIS OBISPO
State:CA
Zip:93409
County:SAN LUIS OBISPO
Actions:No
NumberNameTypeStatus
37649MCGOWEN PATRICK DEANREGISTERED PHARMACISTCLEAR
99145CALIFORNIA MEN'S COLONY HOSPITALGOVERNMENT OWNED PHARMACY OR HOSPITALCLEAR

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