Licensee Name:MARINA DEL REY HOSPITAL HOSPITAL
License Type:LICENSED STERILE COMPOUNDING
License Number:100247
License Status:CLEAR Definition
Expiration Date:October 01, 2015
Issue Date:June 04, 2014
Address:4650 LINCOLN BLVD
City:MARINA DEL REY
State:CA
Zip:90292
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
47217MARINA DEL REY HOSPITALHOSPITAL PHARMACY CLEAR
50764BOTWIN KIMBERLY JOELLEREGISTERED PHARMACISTCLEAR

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