Licensee Name:LOMA LINDA HEALTH PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99783
License Status:DELINQUENT Definition
Expiration Date:October 01, 2014
Issue Date:July 01, 2013
Address:11382 MOUNTAIN VIEW AVE #A-2
City:LOMA LINDA
State:CA
Zip:92354
County:SAN BERNARDINO
Actions:No
NumberNameTypeStatus
39477LOMA LINDA HEALTH PHARMACYRETAIL PHARMACYCLEAR
40465PARK SHIN SOOK SUZANNREGISTERED PHARMACISTCLEAR

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