Licensee Name:LPCH CHILDRENS HOME PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100481
License Status:CLEAR Definition
Expiration Date:April 01, 2015
Issue Date:June 16, 2014
Address:4600 BOHANNON DR SUITE 105
City:MENLO PARK
State:CA
Zip:94025
County:SAN MATEO
Actions:No
NumberNameTypeStatus
38041LAU JANET CHIUREGISTERED PHARMACISTCLEAR
40780LPCH CHILDREN'S HOME PHARMACYRETAIL PHARMACYCLEAR

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