Licensee Name:MEDSRX PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99743
License Status:CANCELLED Definition
Expiration Date:May 01, 2013
Issue Date:June 27, 2012
Address:29851 AVETURA STE J-1
City:RANCHO SANTA MARGARITA
State:CA
Zip:92688
County:ORANGE
Actions:No
NumberNameTypeStatus
50304MEDSRX PHARMACYRETAIL PHARMACYCANCELLED
58288ROSHANKAR MARYAMREGISTERED PHARMACISTCLEAR

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