Licensee Name:LODI MEMORIAL HOSPITAL PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100266
License Status:CLEAR Definition
Expiration Date:June 01, 2015
Issue Date:June 04, 2014
Address:975 S. FAIRMONT AVE
City:LODI
State:CA
Zip:95241
County:SAN JOAQUIN
Actions:No
NumberNameTypeStatus
14634LODI MEMORIAL HOSPITAL PHARMACYHOSPITAL PHARMACY CLEAR
37857BECK-ATWATER SANDRAREGISTERED PHARMACISTCLEAR

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