Licensee Name:KAISER PERMANENTE PHARMACY #376
License Type:LICENSED STERILE COMPOUNDING
License Number:99961
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:June 16, 2014
Address:4201 W CHAPMAN
City:ORANGE
State:CA
Zip:92868
County:ORANGE
Actions:No
NumberNameTypeStatus
37644KAISER PERMANENTE PHARMACY #376RETAIL PHARMACYCLEAR
45117REYES JESUS MREGISTERED PHARMACISTCLEAR

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