Licensee Name:MISSION COMMUNITY HOSPITAL MAIN PHARMACY IN BASEMENT
License Type:LICENSED STERILE COMPOUNDING
License Number:100599
License Status:CLEAR Definition
Expiration Date:July 01, 2015
Issue Date:June 30, 2014
Address:14850 ROSCOE BLVD
City:PANORAMA CITY
State:CA
Zip:91402
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
39966WELVANG DENISE CAROLYNREGISTERED PHARMACISTCLEAR
51555MISSION COMMUNITY HOSPITALHOSPITAL PHARMACY CLEAR

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