Licensee Name:L A CNTY OUTPATIENT PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:4689
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 01, 1984
Address:2010 ZONAL AVENUE
City:LOS ANGELES
State:CA
Zip:90033
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
39005TOM MICHAEL RANDALLREGISTERED PHARMACISTCLEAR

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