Licensee Name:MILLS PENINSULA MEDICAL CENTER PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99912
License Status:CLEAR Definition
Expiration Date:March 01, 2015
Issue Date:June 17, 2014
Address:1501 TROUSDALE DRIVE
City:BURLINGAME
State:CA
Zip:94109
County:SAN MATEO
Actions:No
NumberNameTypeStatus
42937MILLS PENINSULA MEDICAL CENTER PHARMACYHOSPITAL PHARMACY CLEAR
67028TEJURA REENA MANHARREGISTERED PHARMACISTCLEAR

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