Licensee Name:EDGEMOOR HOSPITAL DPSNF
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:34002
License Status:CANCELLED Definition
Expiration Date:November 01, 2013
Issue Date:March 23, 1987
Address:655 PARK CENTER DR
City:SANTEE
State:CA
Zip:92071
County:SAN DIEGO
Actions:No
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