Licensee Name:CCWF PHARMACY
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:36883
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 25, 1991
Address:P O BOX 1501
23370 ROAD 22
City:CHOWCHILLA
State:CA
Zip:93610
County:MADERA
Actions:No
NumberNameTypeStatus
47340DYBAS MONICA MARIEREGISTERED PHARMACISTCLEAR

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