Licensee Name:MEMORIAL HOSPITAL OF GARDENA
License Type:LICENSED STERILE COMPOUNDING
License Number:100123
License Status:CLEAR Definition
Expiration Date:January 01, 2016
Issue Date:June 20, 2014
Address:1145 WEST REDONDO BEACH BLVD
City:GARDENA
State:CA
Zip:90247
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
19949LAWRENCE LENORA MREGISTERED PHARMACISTCLEAR
49929MEMORIAL HOSPITAL OF GARDENAHOSPITAL PHARMACY CLEAR
50456KIM THEODORE JREGISTERED PHARMACISTCLEAR

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