Licensee Name:FAIRMONT HOSPITAL OUTPATIENT PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:38062
License Status:CANCELLED Definition
Expiration Date:November 01, 2003
Issue Date:July 15, 1992
Address:15400 FOOTHILL BOULEVARD
City:SAN LEANDRO
State:CA
Zip:94578
County:ALAMEDA
Actions:No
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