Licensee Name:KAISER PERMANENTE PHARMACY #181
License Type:LICENSED STERILE COMPOUNDING
License Number:100176
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:May 27, 2014
Address:1795 SECOND ST, SUITE B
City:BERKELEY
State:CA
Zip:94710-1704
County:ALAMEDA
Actions:No
NumberNameTypeStatus
47289ZAHIRI MEHRNAZ NREGISTERED PHARMACISTCLEAR
51900KAISER PERMANENTE PHARMACY #181RETAIL PHARMACYCLEAR

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