Licensee Name:MEDICAL CLINIC PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99173
License Status:CLEAR Definition
Expiration Date:April 01, 2015
Issue Date:February 20, 2004
Address:2025 SOQUEL AVE
City:SANTA CRUZ
State:CA
Zip:95062
County:SANTA CRUZ
Actions:No
NumberNameTypeStatus
21201MEDICAL CLINIC PHARMACYRETAIL PHARMACYCLEAR
41096DEMBSKI THOMAS FRANCISREGISTERED PHARMACISTCLEAR

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