Licensee Name:MISSION HOSPITAL LAGUNA BEACH MAIN PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99983
License Status:CLEAR Definition
Expiration Date:September 01, 2015
Issue Date:May 09, 2014
Address:31872 SOUTH COAST HIGHWAY
City:LAGUNA BEACH
State:CA
Zip:92651
County:ORANGE
Actions:No
NumberNameTypeStatus
45009WARE GREGORY SCOTTREGISTERED PHARMACISTCLEAR
49953MISSION HOSPITAL LAGUNA BEACHHOSPITAL PHARMACY CLEAR

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