Licensee Name:COMMUNITY HOSPITAL OF SAN BERNARDINO PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:100143
License Status:CLEAR Definition
Expiration Date:April 01, 2015
Issue Date:May 17, 2014
Address:1805 MEDICAL CENTER DR
PHARMACY
City:SAN BERNARDINO
State:CA
Zip:92411
County:SAN BERNARDINO
Actions:No
NumberNameTypeStatus
37939COMMUNITY HSP OF SAN BERNARDINO PHYHOSPITAL PHARMACY CLEAR
43733WOMACK PATRICIA LORENEREGISTERED PHARMACISTCLEAR

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