Licensee Name:FAIRMONT HOSPITAL PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:40904
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:October 13, 1995
Address:15400 FOOTHILL BOULEVARD
City:SAN LEANDRO
State:CA
Zip:94578
County:ALAMEDA
Actions:No
NumberNameTypeStatus
38630FONG WILLIAM KWOK-LEUNGREGISTERED PHARMACISTCLEAR

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