Licensee Name:FAIRVIEW DEVELOPMENTAL CENTER PHARMACY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:9770
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 01, 1984
Address:2501 HARBOR BLVD
City:COSTA MESA
State:CA
Zip:92626
County:ORANGE
Actions:No
NumberNameTypeStatus
42721PATEL NEEMISH NATUREGISTERED PHARMACISTCLEAR

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