Licensee Name:MARSHALL HOSPITAL PHARMACY; 2ND FLOOR SURGERY WING
License Type:LICENSED STERILE COMPOUNDING
License Number:100131
License Status:CLEAR Definition
Expiration Date:February 01, 2016
Issue Date:June 20, 2014
Address:1100 MARSHALL WAY
City:PLACERVILLE
State:CA
Zip:95667
County:EL DORADO
Actions:No
NumberNameTypeStatus
32861DI PONTI ROBERT ANTHONYREGISTERED PHARMACISTCLEAR
44350MARSHALL HOSPITAL PHARMACYHOSPITAL PHARMACY CLEAR

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