Licensee Name:MAD RIVER COMMUNITY HOSPITAL PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99418
License Status:CLEAR Definition
Expiration Date:August 01, 2015
Issue Date:December 08, 2008
Address:3800 JANES RD
City:ARCATA
State:CA
Zip:95521
County:HUMBOLDT
Actions:No
NumberNameTypeStatus
39424MAD RIVER COMMUNITY HOSPITAL PHARMACYHOSPITAL PHARMACY CLEAR
44956LOUIS MICHAEL JOHNREGISTERED PHARMACISTCLEAR

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