Licensee Name:MEDICAL DENTAL PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99029
License Status:CLEAR Definition
Expiration Date:August 01, 2015
Issue Date:July 16, 2003
Address:689 E NEES AVE
City:FRESNO
State:CA
Zip:93720
County:FRESNO
Actions:No
NumberNameTypeStatus
44342MEDICAL DENTAL PHARMACYRETAIL PHARMACYCLEAR
45423SMITH DIANA LYNNREGISTERED PHARMACISTCLEAR

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