Licensee Name:CALIFORNIA MEN'S COLONY MENTAL HEALTH CRISIS BED PHARMACY
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:51554
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:June 05, 2013
Address:HIGHWAY 1
City:SAN LUIS OBISPO
State:CA
Zip:93409
County:SAN LUIS OBISPO
Actions:No
NumberNameTypeStatus
31139KRUP LAUREN MADELINEREGISTERED PHARMACISTCLEAR
37649MCGOWEN PATRICK DEANREGISTERED PHARMACISTCLEAR

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