Licensee Name:LOS ALTOS PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99126
License Status:CANCELLED Definition
Expiration Date:July 01, 2013
Issue Date:August 28, 2003
Address:255 SECOND ST
City:LOS ALTOS
State:CA
Zip:94022
County:SANTA CLARA
Actions:No
NumberNameTypeStatus
42953LOS ALTOS PHARMACYRETAIL PHARMACYCANCELLED

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