Licensee Name:MARTINEZ DETENTION FACILITY PHARMACY
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:36620
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 24, 1992
Address:1000 WARD STREET
City:MARTINEZ
State:CA
Zip:94553
County:CONTRA COSTA
Actions:No
NumberNameTypeStatus
49555CHAN LARRYREGISTERED PHARMACISTCLEAR

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