Licensee Name:VALLEY STATE PRISON PHARMACY
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:41488
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:March 14, 1996
Address:21633 AVENUE 24
P O BOX 99
City:CHOWCHILLA
State:CA
Zip:93610-0099
County:MADERA
Actions:No
NumberNameTypeStatus
45068LOPEZ FRANCISCOREGISTERED PHARMACISTCLEAR

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