Licensee Name:MEDRX INFUSION CLINICAL PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100692
License Status:CLEAR Definition
Expiration Date:October 01, 2015
Issue Date:December 30, 2014
Address:415-417 N OAK ST
City:INGLEWOOD
State:CA
Zip:90302
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
31231NEULS DALE ELINORREGISTERED PHARMACISTCLEAR
51821MEDRX INFUSION CLINICAL PHARMACYRETAIL PHARMACYCLEAR
57660NAZARIAN DORISREGISTERED PHARMACISTCLEAR

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