Licensee Name:LOMA LINDA UNIVERSITY MEDICAL CENTER ADULT INFUSION PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99548
License Status:CANCELLED Definition
Expiration Date:July 01, 2012
Issue Date:September 25, 2009
Address:81 S HIGHLAND SPRINGS AVE STE 201
City:BEAUMONT
State:CA
Zip:92223
County:RIVERSIDE
Actions:No
NumberNameTypeStatus
49975LOMA LINDA UNIVERSITY MEDICAL CENTER ADULT INFUSION PHARMACYRETAIL PHARMACYCANCELLED

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