Licensee Name:DEPARTMENT OF STATE HOSPITALS - COALINGA
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:47182
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:July 11, 2005
Address:24511 WEST JAYNE AVE
P O BOX 5000
City:COALINGA
State:CA
Zip:93210-4326
County:FRESNO
Actions:No
NumberNameTypeStatus
31264LOZANO JUAN RUBENREGISTERED PHARMACISTCLEAR

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