Licensee Name:COLUMBIA STATE PARK PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:13593
License Status:CANCELLED Definition
Expiration Date:November 01, 1998
Issue Date:November 01, 1984
Address:COLUMBIA STATE HIST PARK
City:COLUMBIA
State:CA
Zip:95310
County:TUOLUMNE
Actions:No
No records returned

Comments