Licensee Name:IRONWOOD STATE PRISON PHARMACY
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:40004
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:May 10, 1994
Address:19005 WILEYS WELL ROAD
City:BLYTHE
State:CA
Zip:92225
County:RIVERSIDE
Actions:No
NumberNameTypeStatus
52067MEEKS JEFF DAVIDREGISTERED PHARMACISTCLEAR

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