Licensee Name:MENIFEE VALLEY MEDICAL CENTER MAIN PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100206
License Status:CLEAR Definition
Expiration Date:April 01, 2015
Issue Date:June 20, 2014
Address:28400 MCCALL BLVD
City:SUN CITY
State:CA
Zip:92585
County:RIVERSIDE
Actions:No
NumberNameTypeStatus
35225KELSO STEVEN WAYNEREGISTERED PHARMACISTCLEAR
50408MENIFEE VALLEY MEDICAL CENTERHOSPITAL PHARMACY CLEAR

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