Licensee Name:KAISER PERMANENTE PHARMACY #358
License Type:LICENSED STERILE COMPOUNDING
License Number:99255
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 29, 2004
Address:1200 EL CAMINO REAL
City:S SAN FRANCISCO
State:CA
Zip:94080
County:SAN MATEO
Actions:No
NumberNameTypeStatus
40363BEYER JODIE L.REGISTERED PHARMACISTCLEAR
46813KAISER PERMANENTE PHARMACY #358RETAIL PHARMACYCLEAR

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