Licensee Name:LOMA LINDA MEDICAL CENTER SPECIALTY TEAM CENTER
License Type:LICENSED STERILE COMPOUNDING
License Number:100605
License Status:CLEAR Definition
Expiration Date:July 01, 2015
Issue Date:June 27, 2014
Address:250 E CAROLINE ST
City:SAN BERNARDINO
State:CA
Zip:92408
County:SAN BERNARDINO
Actions:No
NumberNameTypeStatus
50671LOMA LINDA UNIVERSITY MEDICAL CENTER, SPECIALTY TEAM CENTERHOSPITAL PHARMACY CLEAR
60029CAMPBELL MICHAEL SCOTTREGISTERED PHARMACISTCLEAR
63080NDREKAJ NOELAREGISTERED PHARMACISTCLEAR

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