Licensee Name:KAISER PERMANENTE PHARMACY #260C
License Type:LICENSED STERILE COMPOUNDING
License Number:100634
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:August 22, 2014
Address:615 W AVENUE L, FL 3
City:LANCASTER
State:CA
Zip:93534
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
52054KAISER PERMANENTE PHARMACY #260CRETAIL PHARMACYCLEAR
63384MAHONEY ERIN MARIEREGISTERED PHARMACISTCLEAR

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