Licensee Name:KAISER PERMANENTE PHARMACY #414
License Type:LICENSED STERILE COMPOUNDING
License Number:99345
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 09, 2005
Address:710 LAWRENCE EXPRESSWAY 4TH FL
City:SANTA CLARA
State:CA
Zip:95051-5173
County:SANTA CLARA
Actions:No
NumberNameTypeStatus
37376LEE-MA ANNETTE KUANREGISTERED PHARMACISTCLEAR
47154KAISER PERMANENTE PHARMACY #414RETAIL PHARMACYCLEAR

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