Licensee Name:MILLS PENINSULA HEALTH CENTER PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99916
License Status:CLEAR Definition
Expiration Date:October 01, 2015
Issue Date:June 20, 2014
Address:100 S. SAN MATEO DRIVE
City:SAN MATEO
State:CA
Zip:94401
County:SAN MATEO
Actions:No
NumberNameTypeStatus
35361DUNNE CAROLYNREGISTERED PHARMACISTCLEAR
42936MILLS PENINSULA HEALTH CENTER PHARMACYHOSPITAL PHARMACY CLEAR

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