Licensee Name:COMPOUNDIA PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99740
License Status:CLEAR Definition
Expiration Date:April 01, 2015
Issue Date:May 10, 2012
Address:766 LAKEFIELD RD STE E
City:WESTLAKE VILLAGE
State:CA
Zip:91361
County:VENTURA
Actions:No
NumberNameTypeStatus
21567KOENIG LAWRENCEREGISTERED PHARMACISTCLEAR
50901COMPOUNDIA PHARMACYRETAIL PHARMACYCLEAR

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