Licensee Name:KAISER PERMANENTE PHARMACY #027
License Type:LICENSED STERILE COMPOUNDING
License Number:99205
License Status:CANCELLED Definition
Expiration Date:October 10, 2014
Issue Date:January 21, 2004
Address:4700 SUNSET BLVD
City:LOS ANGELES
State:CA
Zip:90027
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
35593KAISER PERMANENTE PHARMACY 027RETAIL PHARMACYCLEAR

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