Licensee Name:MISSION PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99171
License Status:CANCELLED Definition
Expiration Date:April 01, 2006
Issue Date:September 25, 2003
Address:2535 WE TEMPLE ST
City:LOS ANGELES
State:CA
Zip:90026
County:LOS ANGELES
Actions:No
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