Licensee Name:CALIFORNIA STATE PRISON PHARMACY
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:39706
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:June 06, 1994
Address:2100 PEABODY ROAD
P O BOX 4000
City:VACAVILLE
State:CA
Zip:95696-4000
County:SOLANO
Actions:No
NumberNameTypeStatus
57724KAELEY MANRAJ SINGHREGISTERED PHARMACISTCLEAR

Comments