Licensee Name:SAN MATEO MEDICAL CENTER
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:19576
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:June 01, 1980
Address:222 W. 39TH AVE
City:SAN MATEO
State:CA
Zip:94403
County:SAN MATEO
Actions:No
NumberNameTypeStatus
100358SAN MATEO MEDICAL CENTER MAIN PHARMACY ROOM 1PH011GOVERNMENT OWNED PHARMACY OR HOSPITALCLEAR
42499HORNE GARY LYNNREGISTERED PHARMACISTCLEAR

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