Licensee Name:MISSION HOSPITAL REGIONAL MEDICAL CENTER MAIN INPATIENT PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100125
License Status:CLEAR Definition
Expiration Date:December 01, 2015
Issue Date:June 21, 2014
Address:27700 MEDICAL CENTER RD
City:MISSION VIEJO
State:CA
Zip:92691
County:ORANGE
Actions:No
NumberNameTypeStatus
40619MISSION HSP REG MED CTR PHYHOSPITAL PHARMACY CLEAR
53518MAI PHUC XUANREGISTERED PHARMACISTCLEAR

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