Licensee Name:MARK TWAIN MEDICAL CENTER PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99975
License Status:CLEAR Definition
Expiration Date:March 01, 2015
Issue Date:May 09, 2014
Address:768 MOUNTAIN RANCH RD
City:SAN ANDREAS
State:CA
Zip:95249
County:CALAVERAS
Actions:No
NumberNameTypeStatus
36219MARK TWAIN MEDICAL CENTERHOSPITAL PHARMACY CLEAR
40969ORTIZ JILL DEENAREGISTERED PHARMACISTCLEAR

Comments