Licensee Name:KING/DREW MED CTR OUT PHY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:14222
License Status:CANCELLED Definition
Expiration Date:November 01, 2004
Issue Date:November 01, 1984
Address:12021 SOUTH WILMINGTON AVENUE ROOM 1086
City:LOS ANGELES
State:CA
Zip:90059
County:LOS ANGELES
Actions:No
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